Organization
INTERNAL MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHIR SHAIKH DO, MBBS (DIRECTOR)
(703) 204-0355
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD, SUITE 304, ANNANDALE, VA 22003-1229
(703) 204-0355
(703) 204-0356
Mailing address
4034 CAIRO PL, WOODBRIDGE, VA 22192-7616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102202240
VA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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