Organization
FAIRFAX INTERNAL MEDICINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARHAM HAGHIGHI MD (PRESIDENT)
(703) 462-8138
Entity
Organization
Contact information
Practice address
8302 OLD COURTHOUSE RD STE C, VIENNA, VA 22182-3873
(703) 462-8138
Mailing address
8188 MADRILLON CT, VIENNA, VA 22182-3752
(703) 462-8138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G02651
MEDICARE PTAN
VA
Enumeration date
06/04/2007
Last updated
04/06/2012
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