DR. MUBASHER FAZAL (NPI# 1740275551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740275551 |
| Entity Type | Individual |
| Full Name | DR. MUBASHER FAZAL |
| Credential | VA |
| Practice Address |
3700 Fettler Park Dumfries Health Center Dumfries VA 22025 |
| Practice Telephone | 7034417500 |
| Mailing Telephone | 7034417500 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 0101243795 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
0101243795 | VA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
D0068524 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE VA OTHER | A175 | 01 |
| VA | MEDICARE DC/FAIRFAX | 196357 | 01 |
| VA | 1740275551 | 05 |
| Street Address |
3700 FETTLER PARK DUMFRIES HEALTH CENTER |
| City | DUMFRIES |
| State | VA |
| Zip Code | 22025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234291 | Farah D Khan | Family Medicine | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2005-09-07 |
| 1861744484 | Linda A Lee | Pharmacist | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-10-05 |
| 1205185071 | Quang Xuan Huynh | Pharmacist | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-09-07 |
| 1508115346 | Kenny Truong | Pharmacist | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-09-07 |
| 1477737641 | Christine Anne Stapleton | Nurse Practitioner | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2007-12-24 |
| 1790996908 | Tony Melville Gonsalves | Family Medicine | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2007-05-28 |
| 1619079308 | Patricia Anne Kearney | Pediatrics | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-09-02 |
| 1003832502 | Roshan Kalim | Psychiatry & Neurology | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-07-15 |
| 1588607253 | Doris Annette Reid | Family Medicine | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-06-13 |
| 1144261496 | Melissa Kari Gilmore | Pediatrics | 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
| 1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
| 1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
| 1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
| 1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
| 1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
| 1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
| 1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
| 1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
| Find all providers in zip 22025 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542473 | Blue Ridge Medical Management Corporation | Family Medicine | 3175 Linden Dr, Ste 3, Bristol, VA 24202-5849 | 2016-03-31 |
| 1154980415 | Stephanie Beth Kitchen | Family Medicine | 1975 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0167 | 2019-06-11 |
| 1831753334 | Bao Reardon | Family Medicine | 700 Independence Cir, Virginia Beach, VA 23455-6405 | 2019-04-30 |
| 1558891101 | Katie Danielle Buckner | Family Medicine | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2017-06-15 |
| 1811397730 | Supriya Mannepalli | Family Medicine | 935 S Main St, Farmville, VA 23901 | 2014-08-27 |
| 1184067522 | Ashtaad Dalal | Family Medicine | 500 W Annandale Rd, Falls Church, VA 22046-4205 | 2013-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.