MEDICARE: MS. HAMDA GHAFFARI OBRIEN CNM

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	176B00000X	Midwife	0001108253	VA

General Provider Information

NPI Number	:	1568526655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HAMDA GHAFFARI OBRIEN CNM

Provider Business Mailing Address
First Line	:	2101 EAST JEFFERSON STREET
Second Line	:	PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	12255 FAIR LAKES PARKWAY
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3952
Country	:	US
Telephone Number	:	703-934-5905
Fax Number	:	703-934-5778

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	06/07/2026

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