MEDICARE: AAA PEDIATRICS, INC.

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	173000000X	Legal Medicine

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437318482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA PEDIATRICS, INC.

Provider Business Mailing Address
First Line	:	14009 MINNIEVILLE RD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2310
Country	:	US
Telephone Number	:	703-580-6400
Fax Number	:	703-580-6402

Provider Business Practice Location Address
First Line	:	14009 MINNIEVILLE RD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2310
Country	:	US
Telephone Number	:	703-580-6400
Fax Number	:	703-580-6402

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NAJMA J KHAN
Credential	:	M.D.
Telephone Number	:	703-580-6400

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	06/05/2008

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Directions to “AAA PEDIATRICS, INC. ” Practice Location

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