Individual
MRS. NIDA GULFAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13285 MINNIEVILLE RD, WOODBRIDGE, VA 22192-4018
(646) 436-7293
Mailing address
17227 BRANCHED OAK RD, DUMFRIES, VA 22026-3070
(646) 436-7293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102208421
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/20/2024
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