Organization
NOVA EYE MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA RAMAN PATEL MD (MEDICAL DIRECTOR)
(703) 263-3147
Entity
Organization
Contact information
Practice address
5900 FORT DR, SUITE 207, CENTREVILLE, VA 20121-2425
(703) 263-3147
(703) 263-3148
Mailing address
5900 FORT DR, SUITE 207, CENTREVILLE, VA 20121-2425
(703) 263-3147
(703) 263-3148
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101241432
VA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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