OrganizationActive
Active Medical Care LLC
NPI 1073757662 · Internal Medicine Physician · Fairfax, VA
Provider details
- NPI number
- 1073757662
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khairunnisa Masood, Owner(703) 987-8165
- License
- 0101237882 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3930 Pender Dr Ste 230
Fairfax, VA 22030-0992
Phone: (703) 620-6221
Fax: (703) 620-6628
Approximate (ZIP-level) locationGet directions
Mailing address
4879 Mayde Ct
Fairfax, VA 22030-6618
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.