Provider Demographics
NPI:1427868553
Name:AMEREE CLINIC INC
Entity type:Organization
Organization Name:AMEREE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARYALAY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEREE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-533-8160
Mailing Address - Street 1:14904 RICHMOND HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3908
Mailing Address - Country:US
Mailing Address - Phone:571-533-8160
Mailing Address - Fax:
Practice Address - Street 1:14904 RICHMOND HWY STE 310
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3908
Practice Address - Country:US
Practice Address - Phone:571-533-8160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty