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HomeProvidersCOMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

Internal Medicine, Geriatric Medicine

COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

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 Plan acceptance stays unpublished until the practice reports it.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 1811171309 · enumerated 2007-12-20 · record updated 2008-06-19. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES recordGoogle Maps Apple Maps OpenStreetMap

Authorized official: SHAQUWANDA BAKER, Office Manager · (703) 323-4093

Addresses and phones

Specialties

  • Pediatrics 208000000X · License 0101040712 VA
  • Psychiatry & Neurology, Neurology 2084N0400X · License 0101046923 VA
  • Psychiatry & Neurology, Neurodevelopmental Disabilities 2084P0005X · License 0101034545 VA
  • Internal Medicine, Geriatric Medicine 207RG0300X · Primary · License 0101233274 VA

In this directory

VA Fairfax County Fairfax Internal Medicine, Geriatric Medicine

Locations and evidence

  • Practice location FAIRFAX, VA, 220321904
    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.