| Fairfax Tms Pllc | |
|
9020f Lorton Station Blvd Ste 123 Lorton VA 22079-4799 | |
| (571) 477-0380 | |
| Not Available |
| Full Name | Fairfax Tms Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9020f Lorton Station Blvd Ste 123, Lorton, Virginia |
| Authorized Official Name and Position | Adnan Mahmood Durrani (CEO) |
| Authorized Official Contact | 2023158210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Tms Pllc 9500 Peniwill Dr Lorton VA 22079-3457 Ph: (202) 315-8210 | Fairfax Tms Pllc 9020f Lorton Station Blvd Ste 123 Lorton VA 22079-4799 Ph: (571) 477-0380 |
| NPI Number | 1356026587 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 7315396538 |
|---|---|
| Medicare Enrollment ID | O20231213003591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356026587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Adnan Durrani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609256767 PECOS PAC ID: 5294093373 Enrollment ID: I20171219000440 |
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