MEDICARE: DR. FARHA NAQUI 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	208000000X	Pediatrics Physician	0101248806	VA

General Provider Information

NPI Number	:	1801054499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARHA NAQUI M.D.

Provider Business Mailing Address
First Line	:	8365A GREENSBORO DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3530
Country	:	US
Telephone Number	:	703-356-4444
Fax Number	:	703-734-0129

Provider Business Practice Location Address
First Line	:	8365A GREENSBORO DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3530
Country	:	US
Telephone Number	:	703-356-4444
Fax Number	:	703-734-0129

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

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	06/29/2012

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