Dulles Pain & Functional Medicine

NPI #1518573534 in Sterling, Virginia

Provider Information

NPI Number: 1518573534
Entity Type: Organization
Organization Name: Dulles Pain & Functional Medicine
Primary Specialty: Anesthesiology - Pain Medicine
Enumeration Date: Sep 16, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 20 PIDGEON HILL DR STE 205
City: Sterling
State: Virginia
ZIP Code: 20165-6134
Phone: (703) 884-8400

Authorized Official

Name: ISSAM KHAYATA, MD
Title: OWNER
Phone: (703) 884-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Critical Care Medicine — Critical Care Medicine	207LC0200X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X	Primary

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