Greater Washington Gastroenterology | |
8501 Arlington Blvd Suite 525 Fairfax VA 22031-4617 | |
(703) 645-9790 | |
(703) 645-9793 |
Full Name | Greater Washington Gastroenterology |
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Speciality | Internal Medicine - Gastroenterology |
Location | 8501 Arlington Blvd, Fairfax, Virginia |
Authorized Official Name and Position | Ali Fazel (OWNER) |
Authorized Official Contact | 7036459790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greater Washington Gastroenterology 8501 Arlington Blvd Suite 525 Fairfax VA 22031-4617 Ph: (703) 645-9790 | Greater Washington Gastroenterology 8501 Arlington Blvd Suite 525 Fairfax VA 22031-4617 Ph: (703) 645-9790 |
NPI Number | 1811082068 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811082068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | D0063370 (Maryland) | Primary |
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