Individual
ALEXANDER UMAR BAGASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11211 WAPLES MILL RD, SUITE 200, FAIRFAX, VA 22030-7406
(703) 246-9560
Mailing address
11211 WAPLES MILL RD 200, FAIRFAX, VA 22030-7406
(703) 246-9560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101254953
VA
207RI0200X
Infectious Disease Physician
Primary
0101-254053
VA
Other
Enumeration date
05/20/2008
Last updated
10/12/2020
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