Provider Demographics
NPI:1851725345
Name:NEUROLOGY AND SLEEP CARE OF NORTHERN VIRGINIA,P.C.
Entity Type:Organization
Organization Name:NEUROLOGY AND SLEEP CARE OF NORTHERN VIRGINIA,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRISHA
Authorized Official - Middle Name:RANI
Authorized Official - Last Name:JANUMPALLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-698-9400
Mailing Address - Street 1:8316 ARLINGTON BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5216
Mailing Address - Country:US
Mailing Address - Phone:703-698-9400
Mailing Address - Fax:
Practice Address - Street 1:8316 ARLINGTON BLVD STE 650
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5216
Practice Address - Country:US
Practice Address - Phone:703-698-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012514312084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty