Individual
DR. DEENI BASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8525 ROLLING RD, SUITE 200, MANASSAS, VA 20110-3647
(703) 257-2266
(703) 257-2269
Mailing address
PO BOX 4600, MANASSAS, VA 22030
(703) 257-2266
(703) 257-2269
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101235901
VA
Other
Enumeration date
06/01/2005
Last updated
04/06/2011
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