Individual
DR. FUAD ALYKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44320 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5076
(703) 726-9056
(703) 726-9058
Mailing address
44320 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5077
(703) 726-9056
(703) 726-9058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101059077
VA
208000000X
Pediatrics Physician
0101059077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN C11023
MEDICARE
VA
Enumeration date
01/04/2008
Last updated
01/06/2011
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