Healthcare Provider Details
I. General information
NPI: 1679844633
Provider Name (Legal Business Name): BEST HEALTH SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3763 FETTLER PARK DR
DUMFRIES VA
22025-1946
US
IV. Provider business mailing address
3763 FETTLER PARK DR
DUMFRIES VA
22025-1946
US
V. Phone/Fax
- Phone: 703-204-0355
- Fax:
- Phone: 703-204-0355
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | 010243795 |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
MUBASHER
FAZAL
Title or Position: PRESIDENT
Credential:
Phone: 703-204-0355