Provider Demographics
NPI:1558518803
Name:WOMEN'S GLOBAL HEALTH OF N.V P.C.
Entity Type:Organization
Organization Name:WOMEN'S GLOBAL HEALTH OF N.V P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTESHARREI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-356-7700
Mailing Address - Street 1:1515 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4451
Mailing Address - Country:US
Mailing Address - Phone:703-356-7700
Mailing Address - Fax:703-883-1126
Practice Address - Street 1:1515 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 314
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4451
Practice Address - Country:US
Practice Address - Phone:703-356-7700
Practice Address - Fax:703-883-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232530174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00C017W21Medicare PIN
VAH94570Medicare UPIN