Individual
M TAREK ORFALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6355 WALKER LN, STE 308, ALEXANDRIA, VA 22310-3247
(703) 313-7700
(703) 313-6718
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
0101234689
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0101234689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578566931
—
VA
01
—
2384235
AETNA
VA
01
—
P00725458
RR MEDICARE
DC
Enumeration date
05/31/2005
Last updated
04/25/2011
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