=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679844633
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST HEALTH SERVICES PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2012
-----------------------------------------------------
Last Update Date | 01/24/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3763 FETTLER PARK DR
-----------------------------------------------------
City | DUMFRIES
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22025-1946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-204-0355
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3763 FETTLER PARK DR
-----------------------------------------------------
City | DUMFRIES
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22025-1946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-204-0355
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MUBASHER FAZAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-204-0355
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1200X
-----------------------------------------------------
Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
-----------------------------------------------------
License Number | 010243795
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------