Individual
AISHAH CAROL HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1830 TOWN CENTER DR, RESTON, VA 20190-3292
(999) 999-9999
Mailing address
1830 TOWN CENTER DR, RESTON, VA 20190-3292
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/07/2012
Last updated
12/16/2016
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