FAIRFAX LOUDOUN OBGYN, INC (NPI# 1922356054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922356054 |
| Entity Type | Organization |
| Organization Name | FAIRFAX LOUDOUN OBGYN, INC |
| Practice Address |
3930 Pender Dr Suite 210 Fairfax VA 22030-0985 |
| Practice Telephone | 5712490717 |
| Mailing Telephone | 5712490717 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | DR. SHAWANA MUFTI (OWNER) |
| Authorized Official Telephone | 5712490717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
3930 PENDER DR SUITE 210 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-0985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1205212933 | Dermatology of Virginia | Dermatology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2015-08-04 |
| 1265829253 | Anna Rich | Hearing Instrument Specialist | 3930 Pender Dr, Ste 140, Fairfax, VA 22030-0985 | 2015-04-17 |
| 1710381660 | Kenneth J Kim, M.d., P.C. | Clinic/Center | 3930 Pender Dr, Suite 330, Fairfax, VA 22030-0985 | 2014-10-21 |
| 1144631276 | Obgyn of Virginia, LLC | Obstetrics & Gynecology | 3930 Pender Dr, Suite 60, Fairfax, VA 22030-0985 | 2014-05-12 |
| 1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
| 1144569732 | Lyle Joseph Ritch | Physician Assistant | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2013-02-03 |
| 1073887741 | Saman Madani Dmd & Shadi Shareghi Dds PC | Dentist | 3930 Pender Dr, Suite #250, Fairfax, VA 22030-0985 | 2012-02-28 |
| 1598085722 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103592 | Premier Ob/gyn Associates LLC | Obstetrics & Gynecology | 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 | 2018-05-09 |
| 1215439526 | Women's Choice Obgyn LLC | Obstetrics & Gynecology | 10875 Main St Ste 210, Fairfax, VA 22030-4732 | 2018-03-02 |
| 1871019323 | Ntmt Group | Obstetrics & Gynecology | 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 | 2017-08-16 |
| 1750731063 | Rachel Bridge | Obstetrics & Gynecology | 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 | 2016-06-16 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1609147115 | Mitra Zameni | Obstetrics & Gynecology | 10875 Main Street Suit 210, Fairfax, VA 22030 | 2012-01-16 |
| 1891951802 | Ankit Shah | Obstetrics & Gynecology | 3020 Hamaker Ct Ste 501, Fairfax, VA 22031-2220 | 2008-07-30 |
| 1659555431 | Womens Health Associates P.C. | Obstetrics & Gynecology | 3020 Hamaker Ct Ste B105, Fairfax, VA 22031-2236 | 2007-12-28 |
| 1477751030 | Karen R Maser Md LLC | Obstetrics & Gynecology | 8505 Arlington Blvd #410, Fairfax, VA 22031 | 2007-07-05 |
| 1386840791 | Northern Virginia Obgyn Associates, Ltd. | Obstetrics & Gynecology | 8316 Arlington Boulevard, Suite 420, Fairfax, VA 22031-5216 | 2007-06-22 |
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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.