| Innovative Health Services Llc | |
|
1530 Wilson Blvd Ste 650 Arlington VA 22209-2455 | |
| (703) 621-1572 | |
| Not Available |
| Full Name | Innovative Health Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 Wilson Blvd Ste 650, Arlington, Virginia |
| Authorized Official Name and Position | Karla Orea (OWNER) |
| Authorized Official Contact | 7036211572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Health Services Llc 1530 Wilson Blvd Ste 650 Arlington VA 22209-2455 Ph: (703) 621-1572 | Innovative Health Services Llc 1530 Wilson Blvd Ste 650 Arlington VA 22209-2455 Ph: (703) 621-1572 |
| NPI Number | 1508562505 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 7618338633 |
|---|---|
| Medicare Enrollment ID | O20230807001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508562505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20230807001812 |
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