Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101037011 | VA |
N | 111NI0900X | Internist | 0101037011 | VA |
Y | 207V00000X | Obstetrician & Gynecologist | 0101037011 | VA |
N | 207VE0102X | Reproductive Endocrinologist | 0101037011 | VA |
NPI | 1467454223 |
---|---|
Provider Name | Dr. Mutahar Fauzia |
First Address | Falls Church, VA 22041-2897 |
Second Address | Falls Church, VA 22041-2897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006213375 | (05) | VA |
1456121 | UNITED HEALTHCARE ID (01) | VA |
205757 | ANTHEM BCBS ID (01) | VA |
2340766 | CIGNA INS ID (01) | VA |
52300001 | CAREFIRST BCBS ID (01) | VA |
5320010 | AETNA PPO INS ID (01) | VA |
B09541 | (02) | VA |