Chantilly Walk-In Clinic

LBN: Chantilly Walk-In Clinic
Chantilly Walk-In Clinic is an health care organization with primary practice located at 13037 Lee Jackson Hwy Ste D, Fairfax VA 22033-2004. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Chantilly Walk-In Clinic can be contacted via phone (703) 631-0791, or through Nazam, Samir via phone (703) 631-0791.

Contact Information

Primary practice address
13037 Lee Jackson Hwy Ste D Fairfax VA 22033-2004
Phone: (703) 631-0791
Fax: (703) 968-4227
Website:
Map and Directions
Authorized official contact:
Name: Nazam, Samir Doctor of Medicine (MD)
Phone: (703) 631-0791

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0101036326 Virginia

Profile Details

NPI number 1972509735
LBN Legal business name Chantilly Walk-In Clinic
DBA Doing business as
Authorized official Nazam, Samir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972509735 NPPES
Virginia Other 292549 B/C PROVIDER #

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