MEDICARE: DR. COLLINS F KANKAM MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	0101040183	VA

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	:	1568463529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLINS F KANKAM MD

Provider Business Mailing Address
First Line	:	11150 FAIRFAX BLVD
Second Line	:	STE 501
City	:	FAIRFAX
State	:	VA
Zip	:	22030
Country	:	US
Telephone Number	:	703-691-2516
Fax Number	:	703-691-3526

Provider Business Practice Location Address
First Line	:	3300 GALLOWS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041
Country	:	US
Telephone Number	:	703-776-2636
Fax Number	:

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/26/2009

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1285592691 — LULLABY BABY SERVICES LLC
Practice Location Address:

5801 LEESBURG PIKE # 1028
FALLS CHURCH, VA
22041-2301

Practice Phone: 571-419-2283
Practice Fax:

1538163498 — DR. ROBERT HUGH MITTON D.D.S.
Practice Location Address:

5111 LEESBURG PIKE
FALLS CHURCH, VA
22041-3251

Practice Phone: 703-681-0039
Practice Fax:

1801897509 — DIANE B RICE MD
Practice Location Address:

3300 GALLOWS RD
FALLS CHURCH, VA
22041

Practice Phone: 703-776-3001
Practice Fax:

1467454223 — DR. MUTAHAR FAUZIA M.D.
Practice Location Address:

5697 COLUMBIA PIKE , STE 100
FALLS CHURCH, VA
22041-2897

Practice Phone: 703-845-3400
Practice Fax: 800-485-0703

1043203557 — DR. SAMEERA NASSER RENTIA M.D.
Practice Location Address:

5651 COLUMBIA PIKE
FALLS CHURCH, VA
22041-2867

Practice Phone: 703-933-0740
Practice Fax: 703-933-0744

Directions to “ DR. COLLINS F KANKAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.