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Organization

CENTREVILLE MEDICAL PRACTICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASIR RAMIN M.D. (OWNER)
(703) 631-5151
Entity
Organization

Contact information

Practice address
5715 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754
Mailing address
5715 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248485
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144388794
NPI OF DR. NASIR RAMIN
Enumeration date
01/08/2011
Last updated
01/08/2011
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