Organization
MASOOD CHARITABLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHNOOR ALI KHAN MD (PRESIDENT)
(703) 400-3433
Entity
Organization
Contact information
Practice address
12550 CERROMAR PL, FAIRFAX, VA 22030-6652
(703) 400-3433
Mailing address
12550 CERROMAR PL, FAIRFAX, VA 22030-6652
(703) 400-3433
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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