Organization
VIRGINIA RETINA SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHURRAM J. MALIK MD (AUTHORIZED REP/OWNER)
(703) 288-9001
Entity
Organization
Contact information
Practice address
6400 ARLINGTON BLVD., SUITE 600, FALLS CHURCH, VA 22042-2349
(703) 288-9001
(703) 288-5169
Mailing address
6400 ARLINGTON BLVD., SUITE 600, FALLS CHURCH, VA 22042-2349
(703) 288-9001
(703) 288-5169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
VA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057748500
—
DC
05
—
1770943565
—
VA
05
—
634503400
—
MD
Enumeration date
03/07/2016
Last updated
04/17/2017
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