Individual
MR. BINIAM ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9628 PRELUDE CT, VIENNA, VA 22182-3340
(571) 276-2975
Mailing address
9628 PRELUDE CT, VIENNA, VA 22182-3340
(571) 276-2975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006632
VA
Other
Enumeration date
12/16/2018
Last updated
05/28/2021
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