Organization
MY HOA KAAS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MY HOA KAAS DPM (OWNER PHYSICIAN)
(703) 205-0770
Entity
Organization
Contact information
Practice address
2826 OLD LEE HIGHWAY #220, FAIRFAX, VA 22031-4323
(703) 205-0770
(703) 205-0771
Mailing address
2826 OLD LEE HIGHWAY #220, FAIRFAX, VA 22031-4348
(703) 205-0770
(703) 205-0771
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1PD0031143
VA
Other
Enumeration date
05/28/2006
Last updated
06/26/2008
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