Dulles Pain & Functional Medicine

LBN: Dulles Pain & Functional Medicine
Dulles Pain & Functional Medicine is an health care organization with primary practice located at 20 Pidgeon Hill Dr Ste 205 , Sterling VA 20165-6134. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Dulles Pain & Functional Medicine can be contacted via phone (703) 884-8400, or through Khayata, Issam via phone (703) 884-8400.

Contact Information

Primary practice address
20 Pidgeon Hill Dr Ste 205 Sterling VA 20165-6134
Phone: (703) 884-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khayata, Issam Doctor of Medicine (MD)
Phone: (703) 884-8400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1518573534
LBN Legal business name Dulles Pain & Functional Medicine
DBA Doing business as
Authorized official Khayata, Issam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2020
Last updated Oct 14th, 2020 - about 4 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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