Imtiaz Ahmed (NPI# 1225370471, PAC ID# 7113238940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225370471 |
| PAC ID by PECOS | 7113238940 |
| Professional Enrollment ID | I20160920002853 |
| Full Name | Imtiaz Ahmed |
| Organization Legal Name | FAIR OAKS HOSPITALIST PHYSICIANS, PLLC |
| Address |
3600 Joseph Siewick Dr Fairfax VA 22033-1709 |
| Phone Number | 7033913558 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052419868 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390225 | WELLSPAN EPHRATA COMMUNITY HOSPITAL |
| 490101 | INOVA FAIR OAKS HOSPITAL |
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 169 Martin Ave, Ephrata, PA 17522-1724 | 7177214740 | WELLSPAN MEDICAL GROUP |
| 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 7033913558 | FAIR OAKS HOSPITALIST PHYSICIANS, PLLC |
| 420 S 5th Ave, Hospitalist Services Tower Health Medical Group, West Reading, PA 19611-2143 | 4846285455 | TOWER HEALTH MEDICAL GROUP |
| Organization Legal Name | FAIR OAKS HOSPITALIST PHYSICIANS, PLLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suman D Matiana | Family Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jennifer Kannan | Physician Assistant | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Noor A Dabaie | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Bidhan Kunwar | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Pragya Shrestha | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Zhaneta P Zimmer | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Rinku Jagait | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Michael Y Kim | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jency S George | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Marie Michelle Abejuela | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Street Address |
3600 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip | 22033-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Kelly | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Alexander Nicholas D Sutingco | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Rene L Ernest | Nurse Practitioner | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Kimberly Barker | Nurse Practitioner | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Ahmed Qureshi | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Suman D Matiana | Family Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Veronica E Johnson | Physician Assistant | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jennifer Kannan | Physician Assistant | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Sharon L Bachman | General Surgery | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Carmen F Smith | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noor A Dabaie | Internal Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Lynda E Walters | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Joseph L Chu | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Neeraja Thathagari | Internal Medicine | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | |
| Mohit Kapoor | Critical Care (intensivists) | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Mark E Franke | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Lindsey B Verest | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| John R Jones | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Vicki J Carlson | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Quan Nguyen | Anesthesiology | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Find all physicians in zip 22033 | |||
| City | FAIRFAX |
| Zip Code | 22033 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAIRFAX + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.