Integrative Physicians, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTEGRATIVE PHYSICIANS, LLC

Practice address

44121 Harry Byrd Hwy Ste 250
Ashburn, VA 20147-5674

Phone

(703) 864-7870

Fax

(703) 935-1303

NPI assigned

Apr 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ramesh Gogineni

Title

Ceo

Phone

(703) 864-7870

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493424000000",
    "number": "1649705443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 250",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475674",
            "telephone_number": "703-864-7870",
            "fax_number": "703-935-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 250",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475674",
            "telephone_number": "703-864-7870",
            "fax_number": "703-935-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A",
        "authorized_official_last_name": "GOGINENI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-864-7870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.