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Organization

FAIRFAX INTERNAL MEDICINE AND PRIMARY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARUNA GALLA M.D (PHYSICIAN)
(703) 291-0405
Entity
Organization

Contact information

Practice address
5618 OX RD, SUITE D-2, FAIRFAX STATION, VA 22039
(703) 291-0405
(703) 337-0377
Mailing address
5618 OX RD, SUITE D-2, FAIRFAX STATION, VA 22039
(703) 291-0405
(703) 337-0377

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250312
VA
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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