Fairfax Internal Medicine and Primary Care PC

NPI #1831647239 in Fairfax Station, Virginia

Provider Information

NPI Number: 1831647239
Entity Type: Organization
Organization Name: Fairfax Internal Medicine and Primary Care PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 5618 OX RD
Address 2: SUITE D-2
City: Fairfax Station
State: Virginia
ZIP Code: 22039
Phone: (703) 291-0405

Authorized Official

Name: KARUNA GALLA, M.D
Title: PHYSICIAN
Phone: (703) 291-0405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Internal Medicine	207R00000X	Primary

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