Organization
RISEN MEDICAL CARE INC
Active
Other names
Millennium Medical Care Reston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI KIRAN PASUNOORI (VICE PRESIDENT)
(732) 762-5580
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR STE 220, RESTON, VA 20190-3238
(703) 440-7000
(703) 440-7999
Mailing address
23426 SHAGBARK HICKORY LN, ALDIE, VA 20105-4126
(732) 762-5580
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
03/23/2026
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