Healthcare Provider Details

I. General information

NPI: 1043473143
Provider Name (Legal Business Name): NASIR AKHTAR AZIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 ARLINGTON BLVD STE 600
FAIRFAX VA
22031-5204
US

IV. Provider business mailing address

8316 ARLINGTON BLVD STE 600
FAIRFAX VA
22031-5204
US

V. Phone/Fax

Practice location:
  • Phone: 703-563-1470
  • Fax:
Mailing address:
  • Phone: 703-563-1470
  • Fax: 703-573-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0101254896
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: