Individual
ANDALEEB RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 359-7878
Mailing address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 359-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116029221
VA
Other
Enumeration date
06/15/2016
Last updated
06/02/2021
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