Elham Waheeda Altaf (NPI# 1588953780, PAC ID# 7911200985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1588953780 |
| PAC ID by PECOS | 7911200985 |
| Professional Enrollment ID | I20190530000159 |
| Full Name | Elham Waheeda Altaf |
| Organization Legal Name | ANNANDALE OB GYN |
| Address |
4208 Evergreen Ln Suite 213 Annandale VA 22003-3254 |
| Phone Number | 7036427522 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1759314362 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4208 Evergreen Ln, Suite 213, Annandale, VA 22003-3254 | 7036427522 | ANNANDALE OB GYN |
| Organization Legal Name | ANNANDALE OB GYN |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Divya C Sridharan | Obstetrics/gynecology | Annandale Ob Gyn | 4208 Evergreen Ln, Suite 213, Annandale, VA 22003-3254 |
| Anna Khanh Le | Obstetrics/gynecology | Annandale Ob Gyn | 4208 Evergreen Ln, Suite 213, Annandale, VA 22003-3254 |
| Street Address |
4208 EVERGREEN LN SUITE 213 |
| City | ANNANDALE |
| State | VA |
| Zip | 22003-3254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Divya C Sridharan | Obstetrics/gynecology | Annandale Ob Gyn | 4208 Evergreen Ln, Suite 213, Annandale, VA 22003-3254 |
| Peter Kim | Family Medicine | 4208 Evergreen Ln, Suite 222, Annandale, VA 22003-3251 | |
| Anna Khanh Le | Obstetrics/gynecology | Annandale Ob Gyn | 4208 Evergreen Ln, Suite 213, Annandale, VA 22003-3254 |
| Khank Diem Le | Internal Medicine | 4208 Evergreen Ln, Suite 214, Annandale, VA 22003-3254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cassidy | Orthopedic Surgery | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | |
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| Colleen A Kennedy | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| John K Wilson | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Sean C Graham | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan D Campbell | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Megan M Oconnor | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Navdeep K Dhaliwal | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Anna G Davis | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan M Dempsey Lyle | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Find all physicians in zip 22003 | |||
| City | ANNANDALE |
| Zip Code | 22003 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ANNANDALE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Elham Waheeda Altaf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.