Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Medical Care LLC

Organization Internal Medicine Physician · NPI 1073757662

Active Medical Care LLC is an Internal Medicine Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3930 Pender Dr Ste 230
Fairfax, VA 22030-0992
Phone: (703) 620-6221
Fax: (703) 620-6628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101237882 (VA)

Record details

NPI number1073757662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khairunnisa Masood — Owner · (703) 987-8165
NPI enumeratedApril 27, 2009
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address4879 Mayde Ct, Fairfax, VA 22030-6618

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