Organization
THE FOUNTAIN GROUP
Active
Organization
THE FOUNTAIN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH PILLAI MD (OWNER/PHYSICIAN)
(929) 603-9612
Entity
Organization
Contact information
Practice address
1900 RESTON METRO PLZ STE 600, RESTON, VA 20190-5952
(929) 603-9612
Mailing address
1900 RESTON METRO PLZ STE 600, RESTON, VA 20190-5952
(929) 603-9612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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