Provider Demographics
NPI:1184244808
Name:WASHINGTON INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:WASHINGTON INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:VARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-436-9969
Mailing Address - Street 1:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20172-0959
Mailing Address - Country:US
Mailing Address - Phone:703-436-9969
Mailing Address - Fax:703-574-5585
Practice Address - Street 1:4229 LAFAYETTE CENTER DR STE 1125B-1
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1261
Practice Address - Country:US
Practice Address - Phone:703-436-9969
Practice Address - Fax:703-574-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty