Provider Demographics
NPI:1740907088
Name:MIRRORAR LLC
Entity type:Organization
Organization Name:MIRRORAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:HEMANT
Authorized Official - Middle Name:VASANT
Authorized Official - Last Name:VIRKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-728-7071
Mailing Address - Street 1:7803 GLENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7803 GLENBROOK RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1301
Practice Address - Country:US
Practice Address - Phone:301-728-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty