Provider Demographics
NPI:1437693348
Name:INTEGRATED HEALTHCARE SYSTEMS INC
Entity Type:Organization
Organization Name:INTEGRATED HEALTHCARE SYSTEMS INC
Other - Org Name:INTEGRATED HEALTHCARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:KRISHNA
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-957-3373
Mailing Address - Street 1:24805 PINEBROOK RD STE 314
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4128
Mailing Address - Country:US
Mailing Address - Phone:703-957-3373
Mailing Address - Fax:
Practice Address - Street 1:24805 PINEBROOK RD STE 314
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-4128
Practice Address - Country:US
Practice Address - Phone:703-957-3373
Practice Address - Fax:703-738-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555899111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty