Biogenomic Medicine Institute, PLLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

MD036385 Issued in VA

Legal business name

BIOGENOMIC MEDICINE INSTITUTE, PLLC

Practice address

45189 Research Place
Suite 150
Ashburn, VA 20147

Phone

(703) 894-2224

Fax

(703) 997-2566

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nameer R. Haider, M.D.

Title

President

Phone

(703) 787-7638

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1770975096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45189 RESEARCH PLACE",
            "address_2": "SUITE 150",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-894-2224",
            "fax_number": "703-997-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45189 RESEARCH PLACE",
            "address_2": "SUITE 150",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-894-2224",
            "fax_number": "703-997-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGENOMIC MEDICINE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-787-7638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "VA",
            "license": "MD036385",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "MD036385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huma Naureen Bhatti, M.D.
• Megan Bichy
• Sandhya Bikmal
• Sarah Mae Bindrup, M.S. CCC-SLP
• Bio Prosthetic-Orthotic Lab, Inc.
• Eli Bisnett-Cobb, MS, ATC
• Cindy Black, OTR/L
• Kyle Ross Blackman, ATC
• Anne M. Blackstone, PT, PHD
• Jayson Thomas Blair, CERTIFIED LIFE COACH

• Addiction Medicine (Psychiatry & Neurology) Physician in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.