Abdou, Amgad W

Abdou, Amgad W is an individual health care provider with primary practice located at 3031 Javier Rd. Ste. 100, Fairfax VA 22031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Abdou, Amgad W can be contacted via phone (703) 914-8000.

Contact Information

Primary practice address
3031 Javier Rd. Ste. 100 Fairfax VA 22031
Phone: (703) 914-8000
Fax: (703) 560-8214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35-087394 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35-087394 Ohio

Profile Details

NPI number 1447384011
LBN Legal business name Abdou, Amgad W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated May 25th, 2011 - about 13 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 1447384011 NPPES
Ohio Other 000000513075 ANTHEM BC/BS
Ohio MEDICAID 2731842 ANTHEM BC/BS

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