Organization · NPI-2
Integrative Physicians, LLC
Clinic/Center · Ashburn, VA
NPI number1649705443
StatusActive
Last updated in NPPESApr 29, 2017
Details
- NPI
- 1649705443
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2017
- Last updated
- Apr 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
44121 Harry Byrd Hwy Ste 250Ashburn, VA 20147-5674
Phone 703-864-7870 · Fax 703-935-1303
Mailing address
44121 Harry Byrd Hwy Ste 250Ashburn, VA 20147-5674
Phone 703-864-7870 · Fax 703-935-1303
Authorized official
Ramesh Gogineni
Ceo
7038647870
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