Obgyn Of Virginia, Llc

NPI 1144631276 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1144631276
Enumeration Date 05/12/2014
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHAWANA SHAWANA
Position OWNER
Phone (571) 249-0717
Fax
Practice Location
3930 PENDER DR
SUITE 60
FAIRFAX VA, 22030-0985, US
Phone (571) 249-0717
Fax
Business Location
10351 ELIZABETH ST
GREAT FALLS VA, 22066-2922, US
Phone (571) 249-0717
Fax (703) 865-4167
Toxanomy
Taxonomy Code 207VG0400X
License State Virginia
License Number 0101241302
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According to our database, Obgyn Of Virginia, Llc NPI is 1144631276, taxonomy code is 207VG0400X and license number is 0101241302, license state is located at Virginia. Obgyn Of Virginia, Llc physically located at 3930 Pender Dr, Fairfax VA, 22030-0985. NPI Number 1033115704 has the healthcare provider type.

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1144631276 NPI number is provided on an as is basis without warranty of any kind. 1144631276 is maintained by the National Plan & Provider Enumeration System. The contents of Obgyn Of Virginia, Llc are for informational purposes only.