=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497637524
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HI MED ENTERPRISES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2025
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24430 MILLSTREAM DR
-----------------------------------------------------
City | ALDIE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20105-3098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-957-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 175
-----------------------------------------------------
City | NORTHUMBERLAND
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17857-0175
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-988-0925
-----------------------------------------------------
Fax | 570-988-6445
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. HEJAB IMTRYAZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 202-320-2163
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------