Organization
NOVA PAIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH R BHATT MD (PRESIDENT)
(703) 922-0415
Entity
Organization
Contact information
Practice address
6151 FULLER CT, ALEXANDRIA, VA 22310-2541
(703) 347-9770
(703) 347-9251
Mailing address
6081 DEER RIDGE TRL, SPRINGFIELD, VA 22150-1046
(703) 922-0415
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101230999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10016541
—
VA
Enumeration date
08/19/2007
Last updated
06/07/2010
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