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CAPITOL REHAB ANNANDALE INC. NPI 1699832782


NPI Information

NPI: 1699832782
Provider Name: CAPITOL REHAB ANNANDALE, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6940A BRADLICK SHOPPING CTR
ANNANDALE, VA
ZIP 22003
Phone: (703) 333-5022
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CAPITOL REHAB ANNANDALE, INC. is a chiropractor in Annandale, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CAPITOL REHAB ANNANDALE, INC. NPI is 1699832782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6940A BRADLICK SHOPPING CTR
ANNANDALE, VA
ZIP 22003-205
Phone: (703) 333-5022

The provider's authorized official is Mohammad Reza Komaily .
The authorized official title is President and has the following contact phone number (703) 333-5022.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0104556483VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V01315MEDICARE UPINVIRGINIA
21245391226OTHERVIRGINIANPI - DR JEREMY SCHMIDT
31487735007OTHERVIRGINIANPI - DR. MO KOMAILY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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