Provider Demographics
NPI:1417317181
Name:INOVA FAIRFAX HOSPITAL
Entity Type:Organization
Organization Name:INOVA FAIRFAX HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYNMATERNAL FETAL MEDICINE FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYSARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAWNEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-776-8986
Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-2745
Mailing Address - Fax:
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-2745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0109542091282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen