| NPI | 1356442206 |
|---|---|
| Former Legal Business Name | FAIRFAX PSYCHIATRY PC |
| Entity Type | Organization |
| Authorized Contact | SHAHNOOR ALI KHAN President 703-400-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101235819) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-12-14 |