Healthcare Provider Details

I. General information

NPI: 1568651776
Provider Name (Legal Business Name): ADHID ALARIF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10006 THOMPSON RIDGE CT
GREAT FALLS VA
22066-2544
US

IV. Provider business mailing address

PO BOX 641
GREAT FALLS VA
22066-0641
US

V. Phone/Fax

Practice location:
  • Phone: 703-759-6294
  • Fax:
Mailing address:
  • Phone: 703-759-2724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101033583
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number0101033583
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: