Individual
DR. TAYSEER ALDAGHLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 855-1771
Mailing address
2776 S ARLINGTON MILL DR UNIT 505, ARLINGTON, VA 22206-3402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101249887
VA
208600000X
Surgery Physician
0101249887
VA
Other
Enumeration date
11/01/2011
Last updated
02/27/2020
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