Organization
ADVANCED INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBARIK KHAN MD (PRESIDENT)
(703) 620-6221
Entity
Organization
Contact information
Practice address
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030-0985
(703) 620-6221
(703) 620-6628
Mailing address
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030-0985
(703) 620-6221
(703) 620-6628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101059082
VA
Other
Enumeration date
07/15/2006
Last updated
02/21/2013
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