Individual
FATEMEH KHEDMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3654
(703) 391-3049
Mailing address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3654
(703) 391-3049
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101245856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016131240002
—
VA
Enumeration date
06/15/2009
Last updated
02/05/2026
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