Healthcare Provider Details

I. General information

NPI: 1336937648
Provider Name (Legal Business Name): INTUITIVE INSIGHT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11166 FAIRFAX BLVD STE 401
FAIRFAX VA
22030-5017
US

IV. Provider business mailing address

11166 FAIRFAX BLVD STE 401
FAIRFAX VA
22030-5017
US

V. Phone/Fax

Practice location:
  • Phone: 703-505-1251
  • Fax:
Mailing address:
  • Phone: 703-505-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PARTAM MANALAI
Title or Position: CEO
Credential: MD
Phone: 703-505-1251