Organization
NEUROLOGY CONSULTANTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEETHA MANEM M.D. (DIRECTOR)
(703) 635-3275
Entity
Organization
Contact information
Practice address
8303 ARLINGTON BLVD, SUITE 202, FAIRFAX, VA 22031-2903
(703) 635-3275
(703) 286-5096
Mailing address
PO BOX 7534, MC LEAN, VA 22106-7534
(703) 635-3275
(703) 286-5096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101235954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010259703
—
VA
Enumeration date
07/16/2006
Last updated
10/22/2009
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