MEDICARE: FAIZ M. BEHSUDI, M.D. & ASSOCIATES, P.C.

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	208D00000X	General Practice Physician	0101037136	VA

General Provider Information

NPI Number	:	1699824375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIZ M. BEHSUDI, M.D. & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	1608 SPRING HILL RD
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2241
Country	:	US
Telephone Number	:	703-883-0900
Fax Number	:	703-883-0586

Provider Business Practice Location Address
First Line	:	1608 SPRING HILL RD
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2241
Country	:	US
Telephone Number	:	703-883-0900
Fax Number	:	703-883-0586

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FAIZ M. BEHSUDI
Credential	:	M.D.
Telephone Number	:	703-883-0900

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	04/16/2008

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