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FAIRFAX UROLOGY ASSOCIATES LTD NPI 1073700845


NPI Information

NPI: 1073700845
Provider Name: FAIRFAX UROLOGY ASSOCIATES LTD
Classification: Urology - 208800000X
Entity Type: Organization
Address:
10875 MAIN ST
SUITE 208
FAIRFAX, VA
ZIP 22030
Phone: (703) 591-5443
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FAIRFAX UROLOGY ASSOCIATES LTD is an urology in Fairfax, VA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FAIRFAX UROLOGY ASSOCIATES LTD NPI is 1073700845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10875 MAIN ST
SUITE 208
FAIRFAX, VA
ZIP 22030-732
Phone: (703) 591-5443
Fax: (703) 591-0486

The provider's authorized official is William Lloyd Glover .
The authorized official title is Ceo Owner and has the following contact phone number (703) 591-5443.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 6/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology0101022555VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1181624MEDICARE PINDISTRICT OF COLUMBIA
26488OTHERVIRGINIACAREFIRST
3010877OTHERVIRGINIAANTHEM
4340013417OTHERVIRGINIARR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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