| Fariha Azam, | |
|
8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | |
| (571) 581-1771 | |
| Not Available |
| Full Name | Fariha Azam |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 8100 Ashton Ave Ste 200, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740073501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110011700 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
| Entity Name | Carient Heart & Vascular, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669982526 PECOS PAC ID: 4082972468 Enrollment ID: O20171212001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Fariha Azam, 10405 Edisto Ct, Gainesville, VA 20155-3401 Ph: Not Available | Fariha Azam, 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 Ph: (571) 581-1771 |
Jacqueline Ramirez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8609 Sudley Rd Ste 105, Manassas, VA 20110 Phone: 703-393-8883 |
Angellena Arquette-overman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8100 Ashton Ave Ste 200, Manassas, VA 20109 Phone: 877-415-4116 Fax: 571-833-0306 |
Mr. David J Pope, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9625 Surveyor Court, Suite 320, Manassas, VA 20110 Phone: 571-921-4877 Fax: 571-208-0585 |
Hyuckwon Park, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8609 Sudley Rd Ste 105, Manassas, VA 20110 Phone: 703-393-8883 Fax: 866-765-1362 |
Valentina Masiero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8691 Stonewall Rd, Manassas, VA 20110 Phone: 571-284-1430 |
Mr. Berkley Leo Williams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8708 Sudley Rd, Manassas, VA 20110 Phone: 703-530-1226 Fax: 703-530-1228 |
Mikaela Renee Worley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11700 Sudley Manor Dr, Manassas, VA 20109 Phone: 703-589-9695 |