Provider Demographics
NPI:1861555146
Name:NS FAMILY MEDICAL CENTER INC.
Entity type:Organization
Organization Name:NS FAMILY MEDICAL CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ENAMUL
Authorized Official - Middle Name:HOQ
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-659-0550
Mailing Address - Street 1:237 GARRISONVILLE RD
Mailing Address - Street 2:#101
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1553
Mailing Address - Country:US
Mailing Address - Phone:540-659-0550
Mailing Address - Fax:540-720-2386
Practice Address - Street 1:237 GARRISONVILLE RD
Practice Address - Street 2:#101
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1553
Practice Address - Country:US
Practice Address - Phone:540-659-0550
Practice Address - Fax:540-720-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049572207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA104215OtherANTHEM BCBS
VA5135099OtherAETNA
VA26470001OtherCAREFIRST
VA104215OtherANTHEM BCBS
VAC05938Medicare PIN