Alexander Umar Bagasra
Internist Infectious Disease
11211 Waples Mill Rd Suite 200
Fairfax
, Virginia 22030-7406
Alexander Umar Bagasra
Internist Infectious Disease
11211 Waples Mill Rd Suite 200
Fairfax
, Virginia 22030-7406
(703) 246-9560
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Alexander Umar Bagasra
- 11211 Waples Mill Rd 200
- Fairfax, VA
- Zip : 22030-7406
- Phone : (703) 246-9560
Second Address
- Alexander Umar Bagasra
- 11211 Waples Mill Rd Suite 200
- Fairfax, VA
- Zip : 22030-7406
- Phone : (703) 246-9560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 0101254953 | VA |
| N | 111NI0900X | Internist | 0101254953 | VA |
| Y | 207RI0200X | Infectious Disease | 0101-254053 | VA |
National Provider Identifier
| NPI | 1083871800 |
|---|---|
| Provider Name | Alexander Umar Bagasra |
| First Address | Fairfax, VA 22030-7406 |
| Second Address | Fairfax, VA 22030-7406 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2008 |
| Last Update Date | 12/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.