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NPI Code Detail

MEDICARE: HEALTH 1ST PC

MEDICARE: HEALTH 1ST PC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1609942408
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH 1ST PC
Provider Business Mailing Address
First Line : 3763 FETTLER PARK DRIVE
Second Line :
City : DUMFRIES
State : VA
Zip : 22025-1946
Country : US
Telephone Number : 703-445-9250
Fax Number : 703-445-9251
Provider Business Practice Location Address
First Line : 3763 FETTLER PARK DRIVE
Second Line :
City : DUMFRIES
State : VA
Zip : 22025-1946
Country : US
Telephone Number : 703-445-9250
Fax Number : 703-445-9251
Authorized Official
Title or Position : OWNER
Name : DR. NAEEM KHAN
Credential : M.D.
Telephone Number : 703-455-9250
Provider Enumeration Date : 11/27/2006
Last Update Date : 11/09/2007

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Directions to “HEALTH 1ST PC ” Practice Location

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