Organization
DULLES FAMILY MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIM AKHTAR IMAN M.D. (OWNER OF PRACTICE C CORPORATION)
(703) 471-0800
Entity
Organization
Contact information
Practice address
504 ELDEN ST # 3, HERNDON, VA 20170-4741
(703) 471-0800
(703) 471-1332
Mailing address
504 ELDEN ST # 3, HERNDON, VA 20170-4741
(703) 471-0800
(703) 471-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101046800
VA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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