Female

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

Provider Address

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