Organization
ADVANCED NEUROLOGY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASWINDER S KHOSLA M.D. (OWNER)
(703) 349-6690
Entity
Organization
Contact information
Practice address
10125 COLESVILLE RD, SUITE 194, SILVER SPRING, MD 20901-2457
(703) 349-6690
(703) 652-4358
Mailing address
3301 WOODBURN RD, SUITE 304, ANNANDALE, VA 22003-1229
(703) 349-6690
(703) 652-4358
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101238882
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101238882
MEDICAL LICENSE
VA
Enumeration date
12/09/2011
Last updated
12/09/2011
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