Organization
NV MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD RAFIQ MD (MD)
(703) 821-1434
Entity
Organization
Contact information
Practice address
5021 BACKLICK RD UNIT C, ANNANDALE, VA 22003-6043
(703) 821-1434
Mailing address
PO BOX 7182, FAIRFAX STATION, VA 22039-7182
(703) 821-1434
(703) 821-1435
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1001251635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251635
VA LICENCE
VA
Enumeration date
09/26/2012
Last updated
11/09/2020
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