OrganizationActive
Advanced Internal Medicine, Inc.
NPI 1366468779 · Specialist · Fairfax, VA
Provider details
- NPI number
- 1366468779
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Mubarik Khan, President
- License
- 0101059082 (VA)
Practice location
3930 Pender Dr
Suite 230
Fairfax, VA 22030-0985
Phone: (703) 620-6221
Fax: (703) 620-6628
Mailing address
3930 Pender Dr
Fairfax, VA 22030-0985
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2013-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.