Individual
DR. KEVIN ANDREW AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, INOVA FAIRFAX HOSPITAL, FALLS CHURCH, VA 22042-3307
(703) 776-2173
(703) 776-3020
Mailing address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, INOVA FAIRFAX HOSPITAL, FAIRFAX, VA 22042
(703) 776-2173
(703) 776-3020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205381
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/23/2014
Last updated
09/04/2019
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