Organization · NPI-2

Belasli Medical Care & Wellness

Clinic/Center, Multi-Specialty · Vienna, VA

NPI number1649087685

StatusActive

Last updated in NPPESDec 13, 2024

Details

NPI: 1649087685
Entity type: Organization (NPI-2)
Legal business name: Belasli Medical Care & Wellness
Organization subpart: No
Enumeration date: Dec 13, 2024
Certification date: Dec 13, 2024
Last updated: Dec 13, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
207Q00000X	Family Medicine	–	–
261QI0500X	Clinic/Center, Infusion Therapy	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
363LP2300X	Nurse Practitioner, Primary Care	–	–

Practice location

8320 Old Courthouse Rd
Suite 500 #3
Vienna, VA 22182

Phone 571-378-5151

Mailing address

8320 Old Courthouse Rd
Suite 500 #3
Vienna, VA 22182

Phone 571-378-5151

Authorized official

Ruth Esmeralda Mena Akyatan
Owner
9738701829

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