| Fairfax Internal Medicine Associates, Pc | |
|
8302 Old Courthouse Rd Ste C Vienna VA 22182-3873 | |
| (703) 462-8138 | |
| Not Available |
| Full Name | Fairfax Internal Medicine Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8302 Old Courthouse Rd Ste C, Vienna, Virginia |
| Authorized Official Name and Position | Parham Haghighi (PRESIDENT) |
| Authorized Official Contact | 7034628138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Internal Medicine Associates, Pc 8188 Madrillon Ct Vienna VA 22182-3752 Ph: (703) 462-8138 | Fairfax Internal Medicine Associates, Pc 8302 Old Courthouse Rd Ste C Vienna VA 22182-3873 Ph: (703) 462-8138 |
| NPI Number | 1790987352 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 04/06/2012 |
| Medicare PECOS PAC ID | 6800989351 |
|---|---|
| Medicare Enrollment ID | O20070927001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790987352 | NPI | - | NPPES |
| G02651 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101235391 (Virginia) | Primary |
| Provider Name | Parham M Haghighi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134288699 PECOS PAC ID: 8820901747 Enrollment ID: I20031211000442 |
| Provider Name | Howard Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164546321 PECOS PAC ID: 0840210266 Enrollment ID: I20051130000737 |
| Provider Name | Amir Shoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750580502 PECOS PAC ID: 1153414743 Enrollment ID: I20120208000657 |
| Provider Name | Ruby Anumah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255698635 PECOS PAC ID: 7810150885 Enrollment ID: I20120601000012 |
| Provider Name | Ahmad A Karim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831416940 PECOS PAC ID: 7911148572 Enrollment ID: I20130724000122 |
| Provider Name | Sara Ann Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578804878 PECOS PAC ID: 7618101221 Enrollment ID: I20131015001492 |
| Provider Name | Reshata Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104240274 PECOS PAC ID: 4284853557 Enrollment ID: I20140918001035 |
| Provider Name | Sheryl L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528260 PECOS PAC ID: 9931320421 Enrollment ID: I20141027001378 |
| Provider Name | Tarique Zaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801182514 PECOS PAC ID: 0648593749 Enrollment ID: I20141222001053 |
| Provider Name | Kiran Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528296779 PECOS PAC ID: 9133432982 Enrollment ID: I20150722004986 |
| Provider Name | Tiffany Ceylon Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003065582 PECOS PAC ID: 8123254851 Enrollment ID: I20151222000106 |
| Provider Name | Katie Del Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20160323001401 |
| Provider Name | Parvaneh Yahyapour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184078669 PECOS PAC ID: 0345530903 Enrollment ID: I20160609002195 |
| Provider Name | Madeleine M Gillwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518384809 PECOS PAC ID: 0345513842 Enrollment ID: I20170905002966 |
| Provider Name | Liana E Matevosian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033608989 PECOS PAC ID: 0244579498 Enrollment ID: I20190305002547 |
| Provider Name | Julie Y Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154709400 PECOS PAC ID: 0648542407 Enrollment ID: I20200309002098 |
| Provider Name | Radhika Bhatt Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396088191 PECOS PAC ID: 4486952884 Enrollment ID: I20200310001401 |
| Provider Name | Christopher B Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770017691 PECOS PAC ID: 3678840345 Enrollment ID: I20200910001282 |
| Provider Name | An L Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629454699 PECOS PAC ID: 1153671987 Enrollment ID: I20220325002142 |
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