Organization
UNITED WELLNESS CENTER AND SPORTS REHAB FC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRAD NAJAFBAGY (PRESIDENT/CEO)
(703) 437-8195
Entity
Organization
Contact information
Practice address
510 W ANNANDALE RD, SUITE 300, FALLS CHURCH, VA 22046-4226
(703) 600-8208
(703) 437-2404
Mailing address
510 W ANNANDALE RD, SUITE 300, FALLS CHURCH, VA 22046-4226
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104001895
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169218
MEDICARE PTAN
VA
Enumeration date
01/21/2016
Last updated
11/22/2016
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