Provider Demographics
NPI:1821366923
Name:ARRHYTHMIA SPECIALISTS, PC
Entity Type:Organization
Organization Name:ARRHYTHMIA SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EJAZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-536-2579
Mailing Address - Street 1:1870 AMHERST ST.
Mailing Address - Street 2:1-C
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-536-2579
Mailing Address - Fax:540-536-7235
Practice Address - Street 1:1870 AMHERST ST.
Practice Address - Street 2:1-C
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-2579
Practice Address - Fax:540-536-7235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1821366923Medicaid
VADS3898OtherMEDICARE RR
WV3810022265Medicaid
VAA601Medicare PIN