Individual
AMEN JAVAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(479) 531-7274
Mailing address
7141 HUNTLEY CREEK PL, ALEXANDRIA, VA 22306-5107
(479) 531-7274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266427
VA
207R00000X
Internal Medicine Physician
MD045547
DC
208M00000X
Hospitalist Physician
Primary
0101266427
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
INSURER NUMBER
—
Enumeration date
04/15/2014
Last updated
10/22/2021
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