Healthcare Provider Details

I. General information

NPI: 1003773243
Provider Name (Legal Business Name): KZ RECONSTRUCTIVE SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 LEWINSVILLE RD STE 300
MC LEAN VA
22102-2835
US

IV. Provider business mailing address

7601 LEWINSVILLE RD STE 300
MC LEAN VA
22102-2835
US

V. Phone/Fax

Practice location:
  • Phone: 703-543-9252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KHALIQUE ZAHIR
Title or Position: PHYSICIAN
Credential: MD
Phone: 703-543-9252