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NPI Code Detail

MEDICARE: FATIMA AMIR

MEDICARE:   FATIMA  AMIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician010127117VA
2390200000XStudent in an Organized Health Care Education/Training ProgramNY
3207R00000XInternal Medicine Physician010127117VA

General Provider Information

NPI Number : 1326556150
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA AMIR
Provider Business Mailing Address
First Line : 9291 TOWER SIDE DR APT 316
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-6024
Country : US
Telephone Number : 443-846-1909
Fax Number :
Provider Business Practice Location Address
First Line : 1850 TOWN CENTER PKWY
Second Line :
City : RESTON
State : VA
Zip : 20190-3298
Country : US
Telephone Number : 703-689-9037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2018
Last Update Date : 02/09/2021

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Directions to “ FATIMA AMIR ” Practice Location

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