Individual
NEGGIN ASSADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 420, LEESBURG, VA 20176-3697
(571) 375-8601
Mailing address
249 COMMONS DR NW, VIENNA, VA 22180-4216
(703) 508-7826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427832559
—
VA
05
—
30017677960002
—
VA
Enumeration date
08/21/2023
Last updated
10/25/2023
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