Organization
PRIME CARE SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK HEYDARIAN M.D. (OWNER)
(571) 408-4476
Entity
Organization
Contact information
Practice address
2200 OPITZ BLVD, SUITE 340, WOODBRIDGE, VA 22191-3321
(571) 408-4476
(571) 408-4479
Mailing address
2200 OPITZ BLVD, SUITE 340, WOODBRIDGE, VA 22191-3321
(571) 408-4476
(571) 408-4479
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0101048248
VA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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