Provider Demographics
NPI:1770950156
Name:ACER HEALTH INC
Entity type:Organization
Organization Name:ACER HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-563-0511
Mailing Address - Street 1:42675 GULICKS LANDING CT
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4116
Mailing Address - Country:US
Mailing Address - Phone:703-563-0511
Mailing Address - Fax:571-255-7500
Practice Address - Street 1:1553 HIGHWAY 44 E
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-7183
Practice Address - Country:US
Practice Address - Phone:703-563-0511
Practice Address - Fax:571-255-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty