Organization
ACTIVE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAIRUNNISA MASOOD MD (OWNER)
(703) 987-8165
Entity
Organization
Contact information
Practice address
3930 PENDER DR STE 230, FAIRFAX, VA 22030-0992
(703) 620-6221
(703) 620-6628
Mailing address
4879 MAYDE CT, FAIRFAX, VA 22030-6618
(703) 620-6221
(703) 620-6628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237882
VA
Other
Enumeration date
04/27/2009
Last updated
11/03/2025
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