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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN ISAAC ENAV, M.D.

Active Sole Proprietor

BENJAMIN ISAAC ENAV, M.D. is a Pediatric Gastroenterology healthcare provider located in FAIRFAX, Virginia. NPI 1083885214 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · FAIRFAX, VA

Registration Details

NPI Number
1083885214
Provider Type
Individual
Gender
Male
NPI Issued
Mar 15, 2008 (18.441926850902 yrs)
Last Updated
Dec 20, 2013
Licenses
A90971 (CA)
D0067583 (MD)
0101243680 (VA)
4301101793 (MI)
MD20120578 (NM)
Sole Proprietor
Yes

Practice Information

Address
2700 PROSPERITY AVE
SUITE 260
FAIRFAX, VA, 220314339
Browse VA providers · Browse ZIP 22031
Phone
5713140444
Fax
8552373628
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Additional Specialty
Pediatric Gastroenterology
Additional Specialty
Pediatric Gastroenterology
Additional Specialty
Pediatric Gastroenterology
Additional Specialty
Pediatric Gastroenterology

Other Pediatric Gastroenterology Providers in FAIRFAX, VA

Name Credential NPI
DR. PETER LEE JR. M.D. 1740253020
DR. CATHERINE S CHAO M.D. 1184697443
DR. LYNN F DUFFY M.D. 1790759124
DR. OTTO LOUIS-JACQUES M.D. 1124094933
DR. NATALIE A SIKKA MD 1851322424
STEFANY H GARRITY MD 1427283472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.