Dulles Family Medicine P.c.

NPI #1295760510 in Herndon, Virginia

Provider Information

NPI Number: 1295760510
Entity Type: Organization
Organization Name: Dulles Family Medicine P.c.
Primary Specialty: Family Medicine
Enumeration Date: Jul 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 504 ELDEN ST # 3
City: Herndon
State: Virginia
ZIP Code: 20170-4741
Phone: (703) 471-0800

Authorized Official

Name: SHAMIM AKHTAR IMAN, M.D.
Title: OWNER OF PRACTICE C CORPORATION
Phone: (703) 471-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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