Provider Demographics
NPI:1083920706
Name:HEALTHALL PHYSICIANS GROUP
Entity Type:Organization
Organization Name:HEALTHALL PHYSICIANS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOUAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FAROOQI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-520-3507
Mailing Address - Street 1:14614 CHARTER WALK PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4699
Mailing Address - Country:US
Mailing Address - Phone:540-520-3507
Mailing Address - Fax:804-794-4490
Practice Address - Street 1:14614 CHARTER WALK PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4699
Practice Address - Country:US
Practice Address - Phone:540-520-3507
Practice Address - Fax:804-794-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239733261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center