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Individual

DR. HAROLD AGBAHIWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8613 ROUTE 29 STE 100N, FAIRFAX, VA 22031-2172
(703) 934-4450
(703) 934-5533
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 280-9596

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101257647
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073797460
VA
Enumeration date
12/21/2007
Last updated
11/11/2025
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