MEDICARE: NEIGHBORHOOD HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician
4	1223G0001X	General Practice Dentistry
5	363L00000X	Nurse Practitioner
6	152WP0200X	Pediatric Optometrist
7	363A00000X	Physician Assistant
8	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225899719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEALTH

Provider Business Mailing Address
First Line	:	6677 RICHMOND HWY
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-6647
Country	:	US
Telephone Number	:	703-535-5568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 COLUMBIA PIKE STE G
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4478
Country	:	US
Telephone Number	:	703-717-7545
Fax Number	:	703-271-8585

Authorized Official
Title or Position	:	CEO
Name	:	BASIM KHAN
Credential	:
Telephone Number	:	703-535-5568

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	10/02/2025

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Directions to “NEIGHBORHOOD HEALTH ” Practice Location

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