Organization
FAIRFAX INTERNAL MEDICINE AND PRIMARY CARE PC
Active
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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