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NPI 1972509735

OrganizationActive

Chantilly Walk-In Clinic

NPI 1972509735 · Clinic/Center · Fairfax, VA

Provider details

NPI number: 1972509735
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Samir Nazam, Physician
License: 0101036326 (VA)

Practice location

13037 Lee Jackson Hwy

Ste D

Fairfax, VA 22033-2004

Phone: (703) 631-0791

Fax: (703) 968-4227

More VA providers

Mailing address

Po Box 221226

Chantilly, VA 20153-1226

Registry dates

Enumerated: 2005-06-24
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Chantilly Walk-In Clinic — NPI 1972509735, Fairfax, VA | NPI Central