Masood Charitable Clinic

NPI #1093031452 in Fairfax, Virginia

Provider Information

NPI Number: 1093031452
Entity Type: Organization
Organization Name: Masood Charitable Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Apr 10, 2010
Last Updated: Apr 10, 2010

Practice Location

Address: 12550 CERROMAR PL
City: Fairfax
State: Virginia
ZIP Code: 22030-6652
Phone: (703) 400-3433

Authorized Official

Name: DR. SHAHNOOR ALI KHAN, MD
Title: PRESIDENT
Phone: (703) 400-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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