Masood Charitable Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MASOOD CHARITABLE CLINIC

Practice address

12550 Cerromar PL
Fairfax, VA 22030-6652

Phone

(703) 400-3433

NPI assigned

Apr 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shahnoor Ali Khan, MD

Title

President

Phone

(703) 400-3433

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270857600000",
    "number": "1093031452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 CERROMAR PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306652",
            "telephone_number": "703-400-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 CERROMAR PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306652",
            "telephone_number": "703-400-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOOD CHARITABLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-10",
        "last_updated": "2010-04-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHNOOR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-400-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Maslonek, LCSW
• Youssef Radwan Masmoudi, MD
• Anna Dieringer Mason, FNP-C
• David Mason, LPC
• Patrick William Mason, MD
• Hiba Masood, FNP-BC
• Khairunnisa Masood, MD
• Sadia Masood, M.D.
• Elsayed Masoud
• Aubrey Massmann, DO

• Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.