Organization
FAIRFAX LOUDOUN OBGYN, INC
Active
Other names
National Foot and Ankle Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWANA MUFTI MD (OWNER)
(571) 249-0717
Entity
Organization
Contact information
Practice address
3930 PENDER DR STE 60, FAIRFAX, VA 22030-0991
(571) 249-0717
Mailing address
3930 PENDER DR STE 60, FAIRFAX, VA 22030-0991
(571) 249-0717
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/21/2012
Last updated
10/13/2023
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