Provider Demographics
NPI:1699824375
Name:FAIZ M. BEHSUDI, M.D. & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:FAIZ M. BEHSUDI, M.D. & ASSOCIATES, P.C.
Other - Org Name:EMERGENCY USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FAIZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEHSUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-883-0900
Mailing Address - Street 1:1608 SPRING HILL RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2241
Mailing Address - Country:US
Mailing Address - Phone:703-883-0900
Mailing Address - Fax:703-883-0586
Practice Address - Street 1:1608 SPRING HILL RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2241
Practice Address - Country:US
Practice Address - Phone:703-883-0900
Practice Address - Fax:703-883-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101037136208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA621615Medicare ID - Type UnspecifiedGROUP NUMBER