Organization
PINNACLE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURWA NEEMAT NYIGU MD (MEDICAL DIRECTOR)
(336) 624-7164
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE STE 200, ALEXANDRIA, VA 22304-1306
(703) 957-9420
(703) 419-3992
Mailing address
1390 CHAIN BRIDGE RD # 10033, MC LEAN, VA 22101-3904
(336) 624-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/08/2020
Last updated
03/04/2021
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