Provider Demographics
NPI:1609291681
Name:CAMBRIDGE HEALTHCARE
Entity Type:Organization
Organization Name:CAMBRIDGE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAVANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALLAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-798-7506
Mailing Address - Street 1:22960 SHAW RD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-9447
Mailing Address - Country:US
Mailing Address - Phone:703-798-7506
Mailing Address - Fax:703-738-7045
Practice Address - Street 1:22960 SHAW RD
Practice Address - Street 2:SUITE 605
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-9447
Practice Address - Country:US
Practice Address - Phone:703-798-7506
Practice Address - Fax:703-738-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01532500261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy