| Vital Health And Aesthetics | |
|
20925 Professional Plz Ste 340 Ashburn VA 20147-3403 | |
| (571) 707-8518 | |
| Not Available |
| Full Name | Vital Health And Aesthetics |
|---|---|
| Speciality | Internal Medicine |
| Location | 20925 Professional Plz Ste 340, Ashburn, Virginia |
| Authorized Official Name and Position | Masud Baksh (CEO) |
| Authorized Official Contact | 5717078518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Health And Aesthetics 20925 Professional Plz Ste 340 Ashburn VA 20147-3403 Ph: (571) 707-8518 | Vital Health And Aesthetics 20925 Professional Plz Ste 340 Ashburn VA 20147-3403 Ph: (571) 707-8518 |
| NPI Number | 1851173579 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 3971950478 |
|---|---|
| Medicare Enrollment ID | O20231106000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851173579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Masud Reza Quadir Baksh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992774202 PECOS PAC ID: 6901718048 Enrollment ID: I20050126000749 |
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