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BIOGENOMIC MEDICINE INSTITUTE PLLC NPI 1770975096


NPI Information

NPI: 1770975096
Provider Name: BIOGENOMIC MEDICINE INSTITUTE, PLLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
45189 RESEARCH PLACE
SUITE 150
ASHBURN, VA
ZIP 20147
Phone: (703) 894-2224
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BIOGENOMIC MEDICINE INSTITUTE, PLLC is an addiction medicine psychiatry neurology in Ashburn, VA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BIOGENOMIC MEDICINE INSTITUTE, PLLC NPI is 1770975096. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

45189 RESEARCH PLACE
SUITE 150
ASHBURN, VA
ZIP 20147
Phone: (703) 894-2224
Fax: (703) 997-2566

The provider's authorized official is Nameer R. Haider .
The authorized official title is President and has the following contact phone number (703) 787-7638.

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryMD036385VIRGINIANo
22084A0401XPsychiatry & NeurologyAddiction MedicineMD036385VIRGINIAYes

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: 5/5/2024

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