Organization
POTOMAC PULMONARY, INC.
Active
Organization
POTOMAC PULMONARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOCHEHR SOBHANY M.D. (OWNER OF PRACTICE)
(703) 491-4134
Entity
Organization
Contact information
Practice address
13001 SUMMIT SCHOOL RD, SUITE 4, WOODBRIDGE, VA 22192-2903
(703) 491-4134
(703) 491-1813
Mailing address
13001 SUMMIT SCHOOL RD, SUITE 4, WOODBRIDGE, VA 22192-2903
(703) 491-4134
(703) 491-1813
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101021024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006061575
—
VA
Enumeration date
11/10/2008
Last updated
11/10/2008
Update your record
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