Individual
FAISAL AWADALLA AWADELKARIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(703) 246-4599
(703) 383-9638
Mailing address
10102 EASTLAKE DR, FAIRFAX, VA 22032-2732
(571) 274-7127
(703) 383-9638
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101231485
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101231485
STATE MEDICAL BARD LICENC
VA
Enumeration date
08/25/2006
Last updated
07/08/2007
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