Organization
VIENNA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A ANSARI MD (AUTHORIZED OFFICIAL)
(703) 865-0003
Entity
Organization
Contact information
Practice address
421 CHURCH ST NE, SUITE B, VIENNA, VA 22180-4708
(703) 865-0003
Mailing address
421 CHURCH ST NE, SUITE B, VIENNA, VA 22180-4708
(703) 865-0003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101251769
VA
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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