ABDELWAHAB ELTAYEB ELSIRAG (NPI# 1487119707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487119707 |
Entity Type | Individual |
Full Name | ABDELWAHAB ELTAYEB ELSIRAG |
Practice Address |
12587 Fair Lakes Cir Ste 303 Fairfax VA 22033-3822 |
Practice Telephone | 7033098733 |
Mailing Telephone | 7033098733 |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
12587 FAIR LAKES CIR STE 303 |
City | FAIRFAX |
State | VA |
Zip Code | 22033-3822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161299 | Julie Embrey Bowman | Counselor | 3929 Old Lee Hwy Ste 92d, Fairfax, VA 22030-2421 | 2020-07-07 |
1588282685 | Keystone Therapy Group, LLC | Counselor | 10560 Main St Ste 511, Fairfax, VA 22030-7173 | 2020-07-06 |
1356977458 | Lauren Rivers | Counselor | 10650 Main St, Fairfax, VA 22030-3814 | 2020-03-20 |
1528694197 | Stephanie Renee Buchanan | Counselor | 8221 Willow Oaks Corporate Dr Ste 3-330k, Fairfax, VA 22031-4512 | 2020-03-16 |
1316579261 | Mari-elaine Triolo | Counselor | 8221 Willow Oaks Corporate Dr Ste 401, Fairfax, VA 22031-4512 | 2020-02-09 |
1902448251 | Fairfax Therapy Solutions LLC | Counselor | 9675 Main St Ste C, Fairfax, VA 22031-3762 | 2019-10-08 |
1790339513 | Lymaraina D'souza | Counselor | 3931 Tallow Tree Pl, Fairfax, VA 22033-2469 | 2019-07-30 |
1336709930 | Valerie Gayle Hadeed | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2019-06-17 |
1558836825 | Monica Jongmin Lee | Counselor | 2850 Hideaway Rd, Fairfax, VA 22031-1331 | 2018-10-12 |
1619489424 | Everwhen Therapy, LLC | Counselor | 3950 Chain Bridge Rd Ste 10, Fairfax, VA 22030-3935 | 2017-11-02 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.