Provider Demographics
NPI:1972241420
Name:ARSHAD, FATIMA (PA-C)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:
Last Name:ARSHAD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14535 JOHN MARSHALL HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4024
Mailing Address - Country:US
Mailing Address - Phone:571-383-5225
Mailing Address - Fax:
Practice Address - Street 1:14535 JOHN MARSHALL HWY STE 105
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4024
Practice Address - Country:US
Practice Address - Phone:703-754-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-008525363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty