Northern Virginia Neurosurgery Institute PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101240737 Issued in VA

Legal business name

NORTHERN VIRGINIA NEUROSURGERY INSTITUTE PC

Practice address

3301 Woodburn Rd
Suite 209
Annandale, VA 22003-1229

Phone

(703) 645-0440

Fax

(703) 645-0442

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Ramin Rak, M.D.

Title

President

Phone

(703) 645-0440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740337112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD",
            "address_2": "SUITE 209",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-645-0440",
            "fax_number": "703-645-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD",
            "address_2": "SUITE 209",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-645-0440",
            "fax_number": "703-645-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA NEUROSURGERY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAK",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-645-0440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101240737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Annandale, VA
• Providers in Annandale, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.