Provider Demographics
NPI:1912656778
Name:HEALTH CHECK, PLLC
Entity Type:Organization
Organization Name:HEALTH CHECK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANIBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-331-0233
Mailing Address - Street 1:305 MAPLE AVE W STE A
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4306
Mailing Address - Country:US
Mailing Address - Phone:571-407-7004
Mailing Address - Fax:571-407-7092
Practice Address - Street 1:305 MAPLE AVE W STE A
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4306
Practice Address - Country:US
Practice Address - Phone:571-407-7004
Practice Address - Fax:571-407-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101241399OtherVA LICENSE
VA0101241399OtherVIRGINIA LICENSE