MEDICARE: DR. ARSHAD ALI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0102205529	VA
2	207RB0002X	Obesity Medicine (Internal Medicine) Physician	0102205529	VA

General Provider Information

NPI Number	:	1285084079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARSHAD ALI D.O.

Provider Business Mailing Address
First Line	:	1851 N. GEORGE MASON DR.
Second Line	:	SUITE 4C
City	:	ARLINGTON
State	:	VA
Zip	:	22207
Country	:	US
Telephone Number	:	703-717-4250
Fax Number	:	703-717-4251

Provider Business Practice Location Address
First Line	:	1851 N. GEORGE MASON DR.
Second Line	:	SUITE 4C
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1953
Country	:	US
Telephone Number	:	703-717-4250
Fax Number	:	703-717-4251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	07/25/2023

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