Iljana Marjorie Gaffar, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

0101264954 Issued in VA

Practice address

2730 Prosperity Ave Ste C
Fairfax, VA 22031

Phone

(913) 636-6243

NPI assigned

Jun 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: imgaffar@direct.anthc.org
• Direct secure messaging: igaffar1483348@nychhc.direct-ci.com

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1306074323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STEFAN DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271040",
            "telephone_number": "913-636-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "913-636-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFAR",
        "first_name": "ILJANA",
        "middle_name": "MARJORIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "ID",
            "license": "M-15315",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101264954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Alexandra Gaber, CFNP
• Salwa W Gaber
• Annika Gadson
• Dale R. Gadue, RN
• Stephen Andrew Gaeta, M.D., PH.D.
• Kathleen Anne Gahl, MS
• Vilma Gisell Gaitan Valdizan, LCSW, CSAC
• Ricardo Sixto Gaitan, DDS
• Shayla Kristin Gaither, M.D.
• Matthew Frank Galati, D.V.M.

• Pediatric Surgery Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.