Fairfax Internal Medicine Associates, Pc | |
8302 Old Courthouse Rd Ste C Vienna VA 22182-3873 | |
(703) 462-8138 | |
Not Available |
Full Name | Fairfax Internal Medicine Associates, Pc |
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Speciality | Internal Medicine |
Location | 8302 Old Courthouse Rd Ste C, Vienna, Virginia |
Authorized Official Name and Position | Parham Haghighi (PRESIDENT) |
Authorized Official Contact | 7034628138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fairfax Internal Medicine Associates, Pc 8188 Madrillon Ct Vienna VA 22182-3752 Ph: (703) 462-8138 | Fairfax Internal Medicine Associates, Pc 8302 Old Courthouse Rd Ste C Vienna VA 22182-3873 Ph: (703) 462-8138 |
NPI Number | 1790987352 |
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Provider Enumeration Date | 06/04/2007 |
Last Update Date | 04/06/2012 |
Medicare PECOS PAC ID | 6800989351 |
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Medicare Enrollment ID | O20070927001041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790987352 | NPI | - | NPPES |
G02651 | Other | VA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101235391 (Virginia) | Primary |
Provider Name | Parham M Haghighi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1134288699 PECOS PAC ID: 8820901747 Enrollment ID: I20031211000442 |
Provider Name | Howard Cook |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164546321 PECOS PAC ID: 0840210266 Enrollment ID: I20051130000737 |
Provider Name | Amir Shoja |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750580502 PECOS PAC ID: 1153414743 Enrollment ID: I20120208000657 |
Provider Name | Ruby Anumah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255698635 PECOS PAC ID: 7810150885 Enrollment ID: I20120601000012 |
Provider Name | Ahmad A Karim |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1831416940 PECOS PAC ID: 7911148572 Enrollment ID: I20130724000122 |
Provider Name | Sara Ann Atkinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578804878 PECOS PAC ID: 7618101221 Enrollment ID: I20131015001492 |
Provider Name | Reshata Mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104240274 PECOS PAC ID: 4284853557 Enrollment ID: I20140918001035 |
Provider Name | Sheryl L Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033528260 PECOS PAC ID: 9931320421 Enrollment ID: I20141027001378 |
Provider Name | Tarique Zaman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1801182514 PECOS PAC ID: 0648593749 Enrollment ID: I20141222001053 |
Provider Name | Kiran Tariq |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528296779 PECOS PAC ID: 9133432982 Enrollment ID: I20150722004986 |
Provider Name | Tiffany Ceylon Turner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003065582 PECOS PAC ID: 8123254851 Enrollment ID: I20151222000106 |
Provider Name | Katie Del Pierro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20160323001401 |
Provider Name | Parvaneh Yahyapour |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184078669 PECOS PAC ID: 0345530903 Enrollment ID: I20160609002195 |
Provider Name | Madeleine M Gillwald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518384809 PECOS PAC ID: 0345513842 Enrollment ID: I20170905002966 |
Provider Name | Liana E Matevosian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033608989 PECOS PAC ID: 0244579498 Enrollment ID: I20190305002547 |
Provider Name | Julie Y Wang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154709400 PECOS PAC ID: 0648542407 Enrollment ID: I20200309002098 |
Provider Name | Radhika Bhatt Mehta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396088191 PECOS PAC ID: 4486952884 Enrollment ID: I20200310001401 |
Provider Name | Christopher B Huang |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1770017691 PECOS PAC ID: 3678840345 Enrollment ID: I20200910001282 |
Provider Name | An L Tran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629454699 PECOS PAC ID: 1153671987 Enrollment ID: I20220325002142 |
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