# GLENNA R ANDERSEN MD DARYA B MAANAVI MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558474973
- **Authorized official:** GLENNA R ANDERSEN MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (703) 560-1611

## Contact information

- **Practice address:** 8501 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031
- **Practice address phone:** (703) 560-1611
- **Practice address fax:** (703) 573-0217
- **Mailing address:** 6035 BURKE CENTRE PKWY, SUITE 390, BURKE, VA 22015-3750
- **Mailing address phone:** (703) 978-1196
- **Mailing address fax:** (703) 978-7762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 01/31/2008