Individual
RANDI L RABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8613 ROUTE 29 # 200N, FAIRFAX, VA 22031-2171
(715) 350-8400
(703) 280-9596
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 280-9596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002296
VA
363AM0700X
Medical Physician Assistant
Primary
0110002296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538268644
—
VA
Enumeration date
09/22/2006
Last updated
11/11/2025
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