Healthcare Provider Details

I. General information

NPI: 1497637524
Provider Name (Legal Business Name): HI MED ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24430 MILLSTREAM DR
ALDIE VA
20105-3098
US

IV. Provider business mailing address

PO BOX 175
NORTHUMBERLAND PA
17857-0175
US

V. Phone/Fax

Practice location:
  • Phone: 703-957-2000
  • Fax:
Mailing address:
  • Phone: 570-988-0925
  • Fax: 570-988-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HEJAB IMTRYAZ
Title or Position: OWNER
Credential: MD
Phone: 202-320-2163