# DR. MUTAHAR FAUZIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467454223
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0101037011 | VA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 0101037011 | VA | Yes |
| 207VE0102X | Reproductive Endocrinology Physician | 0101037011 | VA | — |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 02/21/2013

## 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 |
