Provider Demographics
NPI:1922613694
Name:PREMIER HEALTH CONSULTANTS OF NORTHERN VIRGINIA INC
Entity Type:Organization
Organization Name:PREMIER HEALTH CONSULTANTS OF NORTHERN VIRGINIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMJOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-848-8287
Mailing Address - Street 1:21882 HYDE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6911
Mailing Address - Country:US
Mailing Address - Phone:775-848-8287
Mailing Address - Fax:703-997-2627
Practice Address - Street 1:44121 HARRY BYRD HWY STE 250
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5674
Practice Address - Country:US
Practice Address - Phone:703-662-3359
Practice Address - Fax:703-997-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty