Individual
DR. RENATA A NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10580 ARROWHEAD DR, FAIRFAX, VA 22030-7301
(571) 432-2600
(571) 432-2787
Mailing address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234
(571) 432-2600
(571) 432-2787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01012
VA
207R00000X
Internal Medicine Physician
Primary
0101255686
VA
207R00000X
Internal Medicine Physician
30440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730302
—
TN
Enumeration date
07/09/2006
Last updated
06/30/2025
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