| Neurology And Sleep Care Of Northern Virginia,p.c. | |
|
1900 Opitz Blvd Ste E&f Woodbridge VA 22191-3320 | |
| (703) 698-9400 | |
| (703) 698-9403 |
| Full Name | Neurology And Sleep Care Of Northern Virginia,p.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Opitz Blvd Ste E&f, Woodbridge, Virginia |
| Authorized Official Name and Position | Shirisha Rani Janumpally (OWNER) |
| Authorized Official Contact | 7036989400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Sleep Care Of Northern Virginia,p.c. 1900 Opitz Blvd Ste E&f Woodbridge VA 22191-3320 Ph: (703) 698-9400 | Neurology And Sleep Care Of Northern Virginia,p.c. 1900 Opitz Blvd Ste E&f Woodbridge VA 22191-3320 Ph: (703) 698-9400 |
| NPI Number | 1851725345 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 6608002308 |
|---|---|
| Medicare Enrollment ID | O20131203000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851725345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101251431 (Virginia) | Primary |
| Provider Name | Shirisha R Janumpally |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215128020 PECOS PAC ID: 2365523040 Enrollment ID: I20140121000647 |
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