MEDICARE: DR. ABDUL QADIR HAJI M.D.

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	207RC0000X	Cardiovascular Disease Physician	0101244590	VA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	0101244590	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00178668	OTHER		RAILROAD MEDICARE

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	:	1578542841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL QADIR HAJI M.D.

Provider Business Mailing Address
First Line	:	19676 PLAYER CT
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-5230
Country	:	US
Telephone Number	:	703-801-2049
Fax Number	:	703-780-9077

Provider Business Practice Location Address
First Line	:	611 S CARLIN SPRINGS RD STE 301
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1086
Country	:	US
Telephone Number	:	703-801-2041
Fax Number	:	703-780-9077

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	11/29/2021

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