# IRONWOOD MIND CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023831740
- **Authorized official:** MANINDER SINGH BHUTANI MD (DIRECTOR)
- **Authorized official phone:** (917) 361-4330

## Contact information

- **Practice address:** 14 PIDGEON HILL DR STE 320, STERLING, VA 20165-6133
- **Practice address phone:** (202) 792-9009
- **Mailing address:** 12332 TOWNCENTER PLAZA, PO BOX 607, STERLING, VA 20164-7045
- **Mailing address phone:** (917) 361-4330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 11/01/2024