Individual
FARIHA AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(571) 581-1771
Mailing address
10405 EDISTO CT, GAINESVILLE, VA 20155-3401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011700
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2025
Last updated
02/03/2026
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