Provider Demographics
NPI:1053494757
Name:SAI HEALTHCARE INC
Entity Type:Organization
Organization Name:SAI HEALTHCARE INC
Other - Org Name:DOMINION FAMILY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIJAL
Authorized Official - Middle Name:ANIL
Authorized Official - Last Name:KATARKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-435-0700
Mailing Address - Street 1:1830 TOWN CENTER DR
Mailing Address - Street 2:STE 303
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3292
Mailing Address - Country:US
Mailing Address - Phone:703-435-0700
Mailing Address - Fax:703-435-0660
Practice Address - Street 1:1830 TOWN CENTER DR
Practice Address - Street 2:STE 303
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3292
Practice Address - Country:US
Practice Address - Phone:703-435-0700
Practice Address - Fax:703-435-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG02446Medicare PIN