Provider Demographics
NPI:1023495942
Name:JORDAN, SALIATOU MAIKARFI (MD)
Entity type:Individual
Prefix:
First Name:SALIATOU
Middle Name:MAIKARFI
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:700 S WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4287
Mailing Address - Country:US
Mailing Address - Phone:703-940-3364
Mailing Address - Fax:703-717-4055
Practice Address - Street 1:4040 FAIRFAX DR STE 801
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1765
Practice Address - Country:US
Practice Address - Phone:571-970-6050
Practice Address - Fax:571-950-6352
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101267707207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101267707OtherSTATE LICENSE
VAFJ8751100OtherDEA CERTIFICATE