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Contact Information

DULLES PAIN & FUNCTIONAL MEDICINE
20 PIDGEON HILL DR STE 205
STERLING, VA20165-6134
 Phone: 703-884-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DULLES PAIN & FUNCTIONAL MEDICINE

NPI # 1518573534
LBN Legal business name DULLES PAIN & FUNCTIONAL MEDICINE
Authorized official ISSAM KHAYATA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2020
Last updated 10/14/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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