Healthcare Provider Details

I. General information

NPI: 1972900355
Provider Name (Legal Business Name): SABA AFRAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21170 ASHBY PONDS BLVD
ASHBURN VA
20147-6128
US

IV. Provider business mailing address

123 45TH ST NE
WASHINGTON DC
20019-4632
US

V. Phone/Fax

Practice location:
  • Phone: 571-291-6131
  • Fax:
Mailing address:
  • Phone: 202-469-4699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD044250
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101272993
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD92801
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: