| Nova Health Mgmt & Research Group | |
|
13505 Dulles Technology Dr Suite 1a Herndon VA 20171-3401 | |
| (703) 404-5900 | |
| Not Available |
| Full Name | Nova Health Mgmt & Research Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 13505 Dulles Technology Dr, Herndon, Virginia |
| Authorized Official Name and Position | Ravi R. Iyer (PRESIDENT) |
| Authorized Official Contact | 7034045900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Health Mgmt & Research Group 21495 Ridgetop Cir Suite 102 Sterling VA 20166-6512 Ph: (703) 404-5900 | Nova Health Mgmt & Research Group 13505 Dulles Technology Dr Suite 1a Herndon VA 20171-3401 Ph: (703) 404-5900 |
| NPI Number | 1497927347 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497927347 | NPI | - | NPPES |
| 580588 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101053203 (Virginia) | Primary |
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