Organization · NPI-2

Deka A Jama, M.D., LLC

Internal Medicine · Vienna, VA

NPI number1689990608
StatusActive
Last updated in NPPESApr 15, 2010

Details

NPI
1689990608
Entity type
Organization (NPI-2)
Legal business name
Deka A Jama, M.D., LLC
Organization subpart
No
Enumeration date
Apr 15, 2010
Last updated
Apr 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042

Phone 703-405-6852 · Fax 703-752-6201

Mailing address

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042

Phone 703-405-6852 · Fax 703-752-6201

Authorized official

Deka A Jama
Owner
7034056852

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