Organization
NASSAR F KHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASSAR F KHAN MD (OWNER)
(703) 560-8444
Entity
Organization
Contact information
Practice address
2826 OLD LEE HWY, SUITE # 110, FAIRFAX, VA 22031-4323
(703) 560-8444
(703) 560-4888
Mailing address
2826 OLD LEE HWY, SUITE # 110, FAIRFAX, VA 22031-4323
(703) 560-8444
(703) 560-4888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101053383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005848784
—
VA
01
—
2972-0001
CAREFIRST BC
VA
Enumeration date
04/03/2013
Last updated
04/03/2013
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