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Premier Health Consultants Of Northern Virginia INC

Internal Medicine in Reston, VA. Organization (NPI-2).

NPI number1164030458
StatusActive
Last updated in NPPESOct 16, 2026

Details

NPI
1164030458
Entity type
Organization (NPI-2)
Legal business name
Premier Health Consultants Of Northern Virginia INC
Organization subpart
No
Enumeration date
Jul 22, 2020
Certification date
Oct 16, 2026
Last updated
Oct 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1800 Town Center Dr Ste 313
Reston, VA 20190-3239

Phone 703-662-3359 · Fax 703-997-2627

Mailing address

21882 Hyde Park Dr
Ashburn, VA 20147-6911

Phone 775-750-3660 · Fax 703-956-1307

Authorized official

Kavita Shantanu Namjoshi
Medical Director
7758488287

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