MASOOD CHARITABLE CLINIC (NPI# 1093031452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093031452 |
| Entity Type | Organization |
| Organization Name | MASOOD CHARITABLE CLINIC |
| Practice Address |
12550 Cerromar Pl Fairfax VA 22030-6652 |
| Practice Telephone | 7034003433 |
| Mailing Telephone | 7034003433 |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2010-04-10 |
| Authorized Official Name | DR. SHAHNOOR ALI KHAN (PRESIDENT) |
| Authorized Official Telephone | 7034003433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
12550 CERROMAR PL |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347341 | Inova Health Care Services | Clinic/Center | 8100 Innovation Park Dr Ste 100, Fairfax, VA 22031-4870 | 2011-08-10 |
| 1255475380 | Afk LLC | Clinic/Center | 9452 Main Street, Med First Urgent Care, Fairfax, VA 22031 | 2007-02-20 |
| 1972509735 | Chantilly Walk-in Clinic | Clinic/Center | 13037 Lee Jackson Hwy, Ste D, Fairfax, VA 22033-2004 | 2005-06-24 |
| 1881212991 | Renewed Oriental Medicine Clinic, Inc. | Clinic/Center | 9685 Main St Ste C, Fairfax, VA 22031-3752 | 2020-07-07 |
| 1295378354 | Community Hospital Association | Clinic/Center | 309 E Main St, Fairfax, MO 64446-9312 | 2019-10-22 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1609165653 | Greenbriar Vision Center, Inc | Clinic/Center | 13029 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2001 | 2011-03-30 |
| 1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
| 1477790228 | Piedmont Otolaryngology Head & Neck Surgery | Clinic/Center | 8303 Arlington Blvd Ste 203, Fairfax, VA 22031-2903 | 2009-01-15 |
| 1174796445 | Kavitha K Nakka, Md Inc. | Clinic/Center | 8301 Arlington Blvd, Suite # T-5, Fairfax, VA 22031-2902 | 2008-04-08 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.