Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 6/3/2023
2987 DISTRICT AVE
STE 120 FAIRFAX, VA 220311571
Phone: 8886636331
Location Details
- Practitioner spends 90% of time at this location.
Additional Practice Address
Last Updated 6/3/2023
6201 Centreville Rd
STE 200 Centreville, VA 201202626
Phone: 5715498577
Location Details
- Practitioner spends 10% of time at this location.
Years in Active Clinical Practice
Last Updated 6/3/2023
Years in Active Clinical Practice Inside US/Canada: 2
Medicaid
Last Updated 6/3/2023
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 6/3/2023
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 6/3/2023
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