| Niyan Medspa Llc | |
|
21001 Sycolin Rd Ste 220 Ashburn VA 20147-4328 | |
| (703) 814-6232 | |
| Not Available |
| Full Name | Niyan Medspa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21001 Sycolin Rd Ste 220, Ashburn, Virginia |
| Authorized Official Name and Position | Kajal Satishchandra Roy (OWNER) |
| Authorized Official Contact | 9177539373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niyan Medspa Llc 21001 Sycolin Rd Ste 220 Ashburn VA 20147-4328 Ph: (703) 814-6232 | Niyan Medspa Llc 21001 Sycolin Rd Ste 220 Ashburn VA 20147-4328 Ph: (703) 814-6232 |
| NPI Number | 1427837806 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 8628425386 |
|---|---|
| Medicare Enrollment ID | O20231117000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427837806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kajal Satishchandra Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013246008 PECOS PAC ID: 8921282674 Enrollment ID: I20231117000815 |
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