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Organization

FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAH M NADEEM MD (PSYCHIATRIST)
(703) 345-8108
Entity
Organization

Contact information

Practice address
FAIRFAXPARK OFFICE PLAZA, 9512 B LEE HIGHWAY, FAIRFAX, VA 22031
(703) 652-6007
(703) 652-6007
Mailing address
2737 SUTTON RD, VIENNA, VA 22181-6107
(301) 538-9676
(703) 652-6007

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101243101
VA

Other

Enumeration date
03/20/2018
Last updated
11/21/2023
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