| Samreen Arif Ansari, MD | |
|
3930 Pender Dr, Suite 230, Fairfax, VA 22030-0985 | |
| (703) 620-6221 | |
| (703) 620-6628 |
| Full Name | Samreen Arif Ansari |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3930 Pender Dr, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295994465 | NPI | - | NPPES |
| 238636ZCDV | Other | DC | MEDICARE PTAN |
| 1295994465 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 253418 (New York) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0101249672 (Virginia) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Samreen Arif Ansari, MD 3930 Pender Dr, Suite 230, Fairfax, VA 22030-0985 Ph: (703) 620-6221 | Samreen Arif Ansari, MD 3930 Pender Dr, Suite 230, Fairfax, VA 22030-0985 Ph: (703) 620-6221 |
Shivangi Vachhani, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006 | |
Dr. Raymund S Cuevo, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 | |
Dr. Michael Maitland, M.D., PH.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601 | |
Aswani Kumar Suthrave, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794 | |
Waseem Ismail Aziz, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Joseph Siewick Dr, Suite 401, Fairfax, VA 22033 Phone: 703-281-1023 Fax: 703-620-2331 | |
Rona Harthill Earle, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153 |