Healthcare Provider Details

I. General information

NPI: 1720453517
Provider Name (Legal Business Name): ALLIED HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2015
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 HARTLAND RD STE 403
FALLS CHURCH VA
22043-3500
US

IV. Provider business mailing address

PO BOX 2901
MERRIFIELD VA
22116-2901
US

V. Phone/Fax

Practice location:
  • Phone: 703-646-2250
  • Fax: 703-991-5649
Mailing address:
  • Phone: 703-646-2250
  • Fax: 703-991-5649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADHURA A GURJAR
Title or Position: PRESIDENT
Credential: PT
Phone: 703-646-2250