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Shangri-la Integrated Clinic
Clinic/Center in Centreville, Virginia
NPI 1336707553

Shangri-la Integrated Clinic is a Clinic/Center based in Centreville, VA. Shangri-la Integrated Clinic practices in Centreville, VA. The NPI Number for Shangri-la Integrated Clinic is 1336707553 and holds a License No. (Virginia).

The current practice location address for Shangri-la Integrated Clinic is 13890 Braddock Rd Ste 300, Centreville, VA and can be reached out via phone at 571-655-2281. You can also correspond with Shangri-la Integrated Clinic through the mailing address at 13890 BRADDOCK RD STE 300, CENTREVILLE, VA - 20121-2438 (mailing address contact number: 571-655-2281).

Location: 13890 Braddock Rd Ste 300, Centreville, VA, 20121-2438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336707553
Provider Name
Shangri-la Integrated Clinic
Credential
Provider Entity Type
Organization
Address
13890 Braddock Rd Ste 300, Centreville, VA, 20121-2438
Phone Number
571-655-2281
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0121000910 01 VA N/A
institution
Provider Business Practice Location Address Details
Address
13890 Braddock Rd Ste 300
City
Centreville
State
Virginia
Zip
20121-2438
Phone Number
571-655-2281
Fax Number
person
Provider Business Mailing Address Details
Address
13890 Braddock Rd Ste 300
City
Centreville
State
Virginia
Zip
20121-2438
Phone Number
571-655-2281
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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).
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