Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 0101254896 | VA |
NPI | 1043473143 |
---|---|
Provider Name | Dr. Nasir Akhtar Aziz |
First Address | Alexandria, VA 22310-3258 |
Second Address | Alexandria, VA 22310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 18/05/2018 |