Kaniz Fatema MD
Family Medicine Physician in Woodbridge, VA(View on Map)
Full Name
Kaniz Fatema MD
NPI Number
1356548366
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/02/2007
Specialties
(Taxonomies)Code
207Q00000X
261QU0200X
Primary Taxonomy
Yes
No
Licenses
State
Virginia
License Number
0101241486
Contact
Information
Purpose
Mailing
Location
Address
9527 PARSONAGE LN
12581 MILSTEAD WAY STE 103
City
Lorton
Woodbridge
State
VA
VA
Postal Code
22079-2776
22192-5446
Country
US
US
Telephone Number
(703) 646-5494
(703) 437-6060
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/05/2018