Provider Demographics
NPI:1316551237
Name:PINNACLE HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:PINNACLE HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KURWA
Authorized Official - Middle Name:NEEMAT
Authorized Official - Last Name:NYIGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-624-7164
Mailing Address - Street 1:1390 CHAIN BRIDGE RD # 10033
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3904
Mailing Address - Country:US
Mailing Address - Phone:336-624-7164
Mailing Address - Fax:
Practice Address - Street 1:4660 KENMORE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1306
Practice Address - Country:US
Practice Address - Phone:703-957-9420
Practice Address - Fax:703-419-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty