Abdallah, Hasan

Abdallah, Hasan is an individual health care provider with primary practice located at 1830 Town Center Dr Suite #303, Reston VA 20190-3292. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Other Service Providers / Specialist is his primary health care specialty. Abdallah, Hasan can be contacted via phone (703) 481-5801.

Contact Information

Primary practice address
1830 Town Center Dr Suite #303 Reston VA 20190-3292
Phone: (703) 481-5801
Fax: (703) 481-5804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101058336 Virginia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101058336 Virginia

Profile Details

NPI number 1477504413
LBN Legal business name Abdallah, Hasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 17th, 2010 - about 14 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 1477504413 NPPES
Virginia MEDICAID 006716512

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