Chantilly Walk-In Clinic

NPI #1972509735 in Fairfax, Virginia

Provider Information

NPI Number: 1972509735
Entity Type: Organization
Organization Name: Chantilly Walk-In Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Jun 24, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 13037 LEE JACKSON HWY
Address 2: STE D
City: Fairfax
State: Virginia
ZIP Code: 22033-2004
Phone: (703) 631-0791

Authorized Official

Name: DR. SAMIR NAZAM, M.D.
Title: PHYSICIAN
Phone: (703) 631-0791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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