Search › Virginia › 363A00000X
Degache Fukiau
NPI 1629723200 · on the registry since 2022
Practice
- Address
- 10100 Fairfax Blvd
Fairfax, VA 22030 - Phone
- (703) 679-1876
- Organisation at this address
- Patient First Richmond Medical Group
Patient First Richmond Medical Group PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 901 S 72nd Ave Apt 223, Yakima, WA
- 9000 Woodyard Rd, Clinton, MD
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MD, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia