Individual
AYESHA ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 N BEAUREGARD ST STE 300, ALEXANDRIA, VA 22311-1732
(703) 717-4148
(703) 717-4149
Mailing address
1600 N BEAUREGARD ST STE 300, ALEXANDRIA, VA 22311-1732
(703) 717-4148
(703) 717-4149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276412
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2019
Last updated
09/09/2022
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