# NOVA PAIN CLINIC INC

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

## Provider details

- **NPI number:** 1043403504
- **Authorized official:** DR. RAKESH R BHATT MD (PRESIDENT)
- **Authorized official phone:** (703) 922-0415

## Contact information

- **Practice address:** 6151 FULLER CT, ALEXANDRIA, VA 22310-2541
- **Practice address phone:** (703) 347-9770
- **Practice address fax:** (703) 347-9251
- **Mailing address:** 6081 DEER RIDGE TRL, SPRINGFIELD, VA 22150-1046
- **Mailing address phone:** (703) 922-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0101230999 | VA | Yes |

## Other

- **Enumeration date:** 08/19/2007
- **Last updated:** 06/07/2010