Nobu, Amy Y

Nobu, Amy Y is an individual health care provider with primary practice located at 3650 Joseph Siewick Drive Suite 400, Fairfax VA 22033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nobu, Amy Y can be contacted via phone (703) 391-2020.

Contact Information

Primary practice address
3650 Joseph Siewick Drive Suite 400 Fairfax VA 22033
Phone: (703) 391-2020
Fax: (703) 391-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101041159 Virginia

Profile Details

NPI number 1750352738
LBN Legal business name Nobu, Amy Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750352738 NPPES
Virginia MEDICAID 5640679

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