# BIOGENOMIC MEDICINE INSTITUTE, PLLC

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

## Provider details

- **NPI number:** 1770975096
- **Authorized official:** NAMEER R. HAIDER M.D. (PRESIDENT)
- **Authorized official phone:** (703) 787-7638

## Contact information

- **Practice address:** 45189 RESEARCH PLACE, SUITE 150, ASHBURN, VA 20147
- **Practice address phone:** (703) 894-2224
- **Practice address fax:** (703) 997-2566
- **Mailing address:** 45189 RESEARCH PLACE, SUITE 150, ASHBURN, VA 20147
- **Mailing address phone:** (703) 894-2224
- **Mailing address fax:** (703) 997-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | MD036385 | VA | Yes |
| 2084P0802X | Addiction Psychiatry Physician | MD036385 | VA | — |

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 02/24/2015