Internal Medicine
ACTIVE MEDICAL CARE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1073757662 · enumerated 2009-04-27 · record updated 2025-11-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KHAIRUNNISA MASOOD MD, OWNER · (703) 987-8165
Addresses and phones
- Mailing address 4879 MAYDE CT, FAIRFAX, VA, 22030-6618 (703) 620-6221 Fax (703) 620-6628 Google Maps Apple Maps OpenStreetMap
- Practice location 3930 PENDER DR STE 230, FAIRFAX, VA, 22030-0992 (703) 620-6221 Fax (703) 620-6628 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License 0101237882 VA
In this directory
Locations and evidence
-
Practice location
FAIRFAX, VA, 220300992
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.