Organization
OBGYN CONSULTANTS OF FAIRFAX VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANA MUFTI MD (OWNER)
(301) 714-1801
Entity
Organization
Contact information
Practice address
10351 ELIZABETH ST, GREAT FALLS, VA 22066-2922
(301) 714-1802
Mailing address
10351 ELIZABETH ST, GREAT FALLS, VA 22066-2922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
10/14/2011
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