Healthcare Provider Details

I. General information

NPI: 1770565012
Provider Name (Legal Business Name): M RAFIQ ZAHEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S CARLIN SPRINGS RD SUITE 201
ARLINGTON VA
22204-1064
US

IV. Provider business mailing address

611 S CARLIN SPRINGS RD STE 201
ARLINGTON VA
22204-1078
US

V. Phone/Fax

Practice location:
  • Phone: 703-933-0700
  • Fax: 703-933-0134
Mailing address:
  • Phone: 703-933-0700
  • Fax: 703-933-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number19851
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD43177
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101052178
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: