Individual
DR. HASAN ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 TOWN CENTER DR, SUITE #303, RESTON, VA 20190-3292
(703) 481-5801
(703) 481-5804
Mailing address
19465 DEERFIELD AVE, SUITE #310, LEESBURG, VA 20176-1701
(703) 724-4003
(703) 724-4408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058336
VA
2080P0202X
Pediatric Cardiology Physician
0101058336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006716512
—
VA
Enumeration date
05/15/2006
Last updated
09/17/2010
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