Individual
DR. SEAN A JEBRAILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19465 DEERFIELD AVE STE 307, LANSDOWNE, VA 20176-1705
(703) 729-4692
(703) 729-4693
Mailing address
19465 DEERFIELD AVE STE 307, LANSDOWNE, VA 20176-1705
(703) 729-4692
(703) 729-4693
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101052907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451674
TRIGONE NUMBER
VA
01
—
6862-0001
CARE FIRST BLUE CROSS
VA
Enumeration date
03/22/2006
Last updated
08/05/2019
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