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Individual
DR. MUTAHAR FAUZIA
Active
Individual
DR. MUTAHAR FAUZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101037011
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101037011
VA
207VE0102X
Reproductive Endocrinology Physician
0101037011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006213375
—
VA
01
—
1456121
UNITED HEALTHCARE ID
VA
01
—
205757
ANTHEM BCBS ID
VA
01
—
2340766
CIGNA INS ID
VA
01
—
52300001
CAREFIRST BCBS ID
VA
01
—
5320010
AETNA PPO INS ID
VA
Enumeration date
08/11/2005
Last updated
02/21/2013
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