| Ami Professional Services Llc | |
|
12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 | |
| (571) 375-8366 | |
| Not Available |
| Full Name | Ami Professional Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12030 Sunrise Valley Drive, Suite 250,, Reston,, Virginia |
| Authorized Official Name and Position | Randy Cook (PRESIDENT) |
| Authorized Official Contact | 5713758366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ami Professional Services Llc 12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 Ph: () - | Ami Professional Services Llc 12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 Ph: (571) 375-8366 |
| NPI Number | 1386228013 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386228013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |