Provider Demographics
NPI:1316090178
Name:BEHSUDI, FAIZ M (MD)
Entity type:Individual
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First Name:FAIZ
Middle Name:M
Last Name:BEHSUDI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1608 SPRING HILL ROAD
Mailing Address - Street 2:EMERGENCY USA
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:703-883-0900
Mailing Address - Fax:703-883-0586
Practice Address - Street 1:1608 SPRING HILL ROAD
Practice Address - Street 2:EMERGENCY USA
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182
Practice Address - Country:US
Practice Address - Phone:703-883-0900
Practice Address - Fax:703-883-0586
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2021-04-05
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Provider Licenses
StateLicense IDTaxonomies
VA0101037136208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
B59588Medicare UPIN