Advanced Internal Medicine, INC.
Specialist in Fairfax, VA. Organization (NPI-2).
NPI number1366468779
StatusActive
Last updated in NPPESFeb 21, 2013
Details
- NPI
- 1366468779
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Internal Medicine, INC.
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Feb 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 0101059082 | VA | Yes |
Practice location
3930 Pender DrSuite 230
Fairfax, VA 22030-0985
Phone 703-620-6221 · Fax 703-620-6628
Mailing address
3930 Pender DrSuite 230
Fairfax, VA 22030-0985
Phone 703-620-6221 · Fax 703-620-6628
Authorized official
Mubarik Khan
President
7036206221
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