Organization
BIOGENOMIC MEDICINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMEER R. HAIDER M.D. (PRESIDENT)
(703) 787-7638
Entity
Organization
Contact information
Practice address
45189 RESEARCH PLACE, SUITE 150, ASHBURN, VA 20147
(703) 894-2224
(703) 997-2566
Mailing address
45189 RESEARCH PLACE, SUITE 150, ASHBURN, VA 20147
(703) 894-2224
(703) 997-2566
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD036385
VA
2084P0802X
Addiction Psychiatry Physician
MD036385
VA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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