Individual
ILJANA MARJORIE GAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2730 PROSPERITY AVE STE C, FAIRFAX, VA 22031
(913) 636-6243
Mailing address
2200 STEFAN DR, DUNN LORING, VA 22027-1040
(913) 636-6243
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101264954
VA
2086S0120X
Pediatric Surgery Physician
M-15315
ID
Other
Enumeration date
06/29/2009
Last updated
11/09/2020
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