Healthcare Provider Details

I. General information

NPI: 1043329758
Provider Name (Legal Business Name): HEALTH CARE REFORMER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8809 BLUE ROYALE LN
FAIRFAX VA
22031-2150
US

IV. Provider business mailing address

8809 BLUE ROYALE LN
FAIRFAX VA
22031-2150
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-2344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. MURALI BRAHMAN
Title or Position: CEO
Credential: MBA
Phone: 703-560-2344