Individual
FAKHRIA MASUMI KHORRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6230 ROLLING RD STE J, SPRINGFIELD, VA 22152-2326
(571) 665-6460
(571) 665-6461
Mailing address
6230 ROLLING RD STE J, SPRINGFIELD, VA 22152-2326
(571) 665-6460
(571) 665-6461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049915
VA
Other
Enumeration date
02/20/2007
Last updated
11/15/2022
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