Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Anatomic Pathology & Clinical Pathology Physician · Fairfax, VA

NPI number 1568520070 Active

Practice location

12011 Lee Jackson Highway
Fairfax, VA 22033-3310

Fax (703) 257-3042

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XNone listed

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1568520070

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1568520070, issued on Dec 5, 2006. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Fairfax, VA. The record was last updated on Jul 24, 2025.