Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401411499 | VA |
Y | 213EG0000X | General Practice | 0401411499 | VA |
NPI | 1003036021 |
---|---|
Provider Name | Dr. Maha Alkishtaini |
First Address | Fairfax, VA 22031-3757 |
Second Address | Springfield, VA 22150-2511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |