Iljana Marjorie Gaffar, MD | |
2730 Prosperity Ave Ste C, Fairfax, VA 22031 | |
(913) 636-6243 | |
Not Available |
Full Name | Iljana Marjorie Gaffar |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 2730 Prosperity Ave Ste C, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306074323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | M-15315 (Idaho) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 0101264954 (Virginia) | Primary |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Iljana Marjorie Gaffar, MD 2200 Stefan Dr, Dunn Loring, VA 22027-1040 Ph: (913) 636-6243 | Iljana Marjorie Gaffar, MD 2730 Prosperity Ave Ste C, Fairfax, VA 22031 Ph: (913) 636-6243 |
Dr. Katherine Marie Klein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 800, Fairfax, VA 22031 Phone: 571-472-4600 Fax: 571-665-6865 | |
Russell P. Seneca, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033 Phone: 703-359-8640 Fax: 703-591-6105 | |
Dr. Paul William White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 800, Fairfax, VA 22031 Phone: 571-472-4600 Fax: 571-665-6885 | |
Dr. Katherine W Khalifeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031 Phone: 703-280-2841 | |
Dr. Stephen Earl Varga, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8260 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 571-472-4670 Fax: 571-665-6798 | |
Dr. Michael G Svestka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033 Phone: 703-359-8640 Fax: 703-591-6105 | |
Sharon L Bachman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8260 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 571-472-4670 Fax: 571-665-6798 |