| Nova Physician Wellness Center Pllc | |
|
3903 Fair Ridge Dr Suite 219 Fairfax VA 22033-2943 | |
| (703) 865-6490 | |
| (703) 865-6492 |
| Full Name | Nova Physician Wellness Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3903 Fair Ridge Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Rohit Suri (OWNER) |
| Authorized Official Contact | 7038656490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Physician Wellness Center Pllc 4211 Fairfax Corner Ave E Suite 200 Fairfax VA 22030-8622 Ph: (703) 865-6490 | Nova Physician Wellness Center Pllc 3903 Fair Ridge Dr Suite 219 Fairfax VA 22033-2943 Ph: (703) 865-6490 |
| NPI Number | 1215307400 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215307400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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