Individual
FAIAZ AHMAD NADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 408-A, FAIRFAX, VA 22033-1744
(703) 391-3620
Mailing address
9434 CANONBURY SQ, FAIRFAX, VA 22031-6098
(571) 234-3950
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-110
CO
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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