MEDICARE: AIDA GIRMA

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
1	207Q00000X	Family Medicine Physician	0101264431	VA

General Provider Information

NPI Number	:	1396123147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDA GIRMA

Provider Business Mailing Address
First Line	:	1625 N GEORGE MASON DR STE 475
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3684
Country	:	US
Telephone Number	:	703-717-4245
Fax Number	:	703-717-4248

Provider Business Practice Location Address
First Line	:	1625 N GEORGE MASON DR STE 475
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3684
Country	:	US
Telephone Number	:	703-717-4245
Fax Number	:	703-717-4248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	03/01/2022

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Directions to “ AIDA GIRMA ” Practice Location

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