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NPI Code Detail

MEDICARE: M TAREK ORFALY MD

MEDICARE:   M TAREK  ORFALY  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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician0101234689VA
2207YX0602XOtolaryngic Allergy Physician0101234689VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00725458OTHERDCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12384235OTHERVAAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578566931
Entity Type Code : Individual
Provider Name (Legal Business Name) : M TAREK ORFALY MD
Provider Business Mailing Address
First Line : PO BOX 17334
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-1334
Country : US
Telephone Number : 703-443-6717
Fax Number : 703-443-8643
Provider Business Practice Location Address
First Line : 6355 WALKER LN
Second Line : STE 308
City : ALEXANDRIA
State : VA
Zip : 22310-3247
Country : US
Telephone Number : 703-313-7700
Fax Number : 703-313-6718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/25/2011

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Directions to “ M TAREK ORFALY MD” Practice Location

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