Organization
FAIR OAKS PODIATRY AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKEE OMAR SHABAZZ DPM (OWNER)
(703) 865-6783
Entity
Organization
Contact information
Practice address
3620 JOSEPH SIEWICK DR, 303, FAIRFAX, VA 22033-1756
(703) 865-6783
(703) 865-6784
Mailing address
3620 JOSEPH SIEWICK DR, 303, FAIRFAX, VA 22033-1756
(703) 865-6783
(703) 865-6784
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300961
VA
Other
Enumeration date
05/06/2010
Last updated
01/13/2011
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