Organization
NORTH EASTERN VIRGINIA MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAHBA YASIN (PRESIDENT/OWNDER)
(703) 303-2806
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 600, ALEXANDRIA, VA 22304-1313
(703) 303-2806
(703) 532-1615
Mailing address
2122 MCCONVEY PL, FALLS CHURCH, VA 22043-3068
(703) 303-2806
(703) 532-1615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568432987
PROVIDER INDIVIDUAL NPI
—
Enumeration date
04/08/2010
Last updated
04/08/2010
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