Provider Demographics
NPI:1205437274
Name:MEDHEALTH360
Entity type:Organization
Organization Name:MEDHEALTH360
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRESOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-729-5553
Mailing Address - Street 1:19500 SANDRIDGE WAY STE 170
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3692
Mailing Address - Country:US
Mailing Address - Phone:571-252-8400
Mailing Address - Fax:703-554-1301
Practice Address - Street 1:19500 SANDRIDGE WAY STE 170
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3692
Practice Address - Country:US
Practice Address - Phone:571-252-8400
Practice Address - Fax:703-554-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty