| Northern Virginia Psychiatry Pc | |
|
13505 Dulles Technology Dr Suite 1a Herndon VA 20171-3401 | |
| (703) 773-0447 | |
| (703) 773-0448 |
| Full Name | Northern Virginia Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13505 Dulles Technology Dr, Herndon, Virginia |
| Authorized Official Name and Position | Balraj Dhillon (PRESIDENT) |
| Authorized Official Contact | 7037730447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Psychiatry Pc 13608 Holly Ridge Ln Gainesville VA 20155 Ph: (703) 773-0447 | Northern Virginia Psychiatry Pc 13505 Dulles Technology Dr Suite 1a Herndon VA 20171-3401 Ph: (703) 773-0447 |
| NPI Number | 1447278049 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 1951329465 |
|---|---|
| Medicare Enrollment ID | O20051103000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447278049 | NPI | - | NPPES |
| N033 | Other | DC | CAREFIRST/BC OF WASH DC |
| 182080 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101236602 (Virginia) | Primary |
| Provider Name | Balraj S Dhillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780677989 PECOS PAC ID: 4385606649 Enrollment ID: I20041028001064 |
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