Individual ProviderTanzeel IslamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-4001PECOS EnrollmentBased on the most recent information from CMS, provider Tanzeel Islam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1578980611Provider TypeIndividualFull NameIslam, TanzeelCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/26/2014Last Updated6/21/2023Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-4001Fax(703) 776-7113Mailing LocationMailing Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-4001Fax(703) 776-7113Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101271208VirginiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense17314NevadaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense17314Nevada