Organization
MILESTONES PEDIATRIC AND ADOLESCENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED TARIK SHINAISHIN M.D. (PEDIATRICIAN)
(703) 753-6772
Entity
Organization
Contact information
Practice address
7500 IRON BAR LN STE 120, GAINESVILLE, VA 20155-3603
(703) 753-6772
Mailing address
7500 IRON BAR LN STE 120, GAINESVILLE, VA 20155-3603
(703) 753-6772
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101239493
VA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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