Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 5/14/2024
Fairfax County Health Department
10777 Main Street
Fairfax, VA 22030
Phone: 7032462411
Location Details
- Practitioner spends 100% of time at this location.
Years in Active Clinical Practice
Last Updated 5/14/2024
Years in Active Clinical Practice Inside US/Canada: 20
Medicaid
Last Updated 5/14/2024
Participate in the Virginia Medicaid program Is accepting new Virginia Medicaid patients
Medicare
Last Updated 5/14/2024
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 5/14/2024
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 5/14/2024
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