Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/5/2021
10701 Main St, Fairfax, VA 22030
Fairfax, VA 22030
Phone: (703) 273-7705
Location Details
- Practitioner spends 100% of time at this location.
- Translation services are available.
Type(s) of Translation Services Available:
Hearing impaired
Non-English language(s) spoken
- Non-English Languages spoken in Office
Telephone Interpretation
Years in Active Clinical Practice
Last Updated 9/5/2021
Years in Active Clinical Practice Inside US/Canada: Less than 1 year
Medicaid
Last Updated 9/5/2021
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 9/5/2021
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 9/5/2021
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/5/2021
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