Organization · Type 2 NPI

Potomac Health & Wellness (phw), Inc

Clinic/Center · Vienna, VA

NPI number 1508245069 Active

Practice location

8321 Old Courthouse Rd, Ste 202
Vienna, VA 22182-3817

Call (703) 740-4577 Map

Fax (703) 448-1257

Mailing address

PO Box 5776
Arlington, VA 22205-0776

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7 other providers at this address

Other clinic/center providers in Vienna

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NPI record

NPI: 1508245069
Entity type: Organization (Type 2)
Issued: May 29, 2015
Last updated: Jan 16, 2025
Status: Active

Other names

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PHW Specialty Clinic · doing business as
Potomac Health and Wellness, LLC · former legal business name

Authorized official

Mr. Amjad Malik
VP
(703) 740-4577

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508245069

Potomac Health & Wellness (phw), Inc's National Provider Identifier is 1508245069, issued on May 29, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Vienna, VA. The record was last updated on Jan 16, 2025.