Individual
KHAIRUNNISA MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010300363
—
VA
Enumeration date
07/15/2006
Last updated
11/03/2025
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