MEDICARE: ADIL ZAHOOR GHAURI 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	207R00000X	Internal Medicine Physician	0101 237621	VA
2	208M00000X	Hospitalist Physician	0101237621	VA

General Provider Information

NPI Number	:	1689671414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADIL ZAHOOR GHAURI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1019
Second Line	:
City	:	STUART
State	:	VA
Zip	:	24171-1019
Country	:	US
Telephone Number	:	276-694-4466
Fax Number	:	276-694-2909

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR
Second Line	:	306
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-264-0521
Fax Number	:	703-860-0229

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/23/2013

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