Individual
DR. BASSAM FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 FINANCIAL LOOP, WOODBRIDGE, VA 22192-2903
(703) 492-1108
(703) 492-1109
Mailing address
1725 FINANCIAL LOOP, WOODBRIDGE, VA 22192-2903
(703) 492-1108
(703) 492-1109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010083371
—
VA
01
—
116347
ANTHEM
VA
01
—
1205852
FIRST HEALTH
—
01
—
1620011
CIGNA
—
01
—
2125305
ALLIANCE
—
01
—
5244538
AETNA PPO
—
01
—
J7160001
CAREFIRST
—
Enumeration date
08/15/2006
Last updated
04/07/2014
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