Iljana Marjorie Gaffar
Pediatric Surgery
2730 Prosperity Ave Ste C
Fairfax
, Virginia 22031
Iljana Marjorie Gaffar
Pediatric Surgery
2730 Prosperity Ave Ste C
Fairfax
, Virginia 22031
(913) 636-6243
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Iljana Marjorie Gaffar
- 2200 Stefan Dr
- Dunn Loring, VA
- Zip : 22027-1040
- Phone : (913) 636-6243
Second Address
- Iljana Marjorie Gaffar
- 2730 Prosperity Ave Ste C
- Fairfax, VA
- Zip : 22031
- Phone : (913) 636-6243
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 0101264954 | VA |
| N | 2086S0120X | Pediatric Surgery | M-15315 | ID |
National Provider Identifier
| NPI | 1306074323 |
|---|---|
| Provider Name | Iljana Marjorie Gaffar |
| First Address | Dunn Loring, VA 22027-1040 |
| Second Address | Fairfax, VA 22031 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2009 |
| Last Update Date | 09/11/2020 |
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.