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Individual

DR. ABDEL-RAHMAN ELBASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44125 WOODRIDGE PKWY, SUITE 180, LANSDOWNE, VA 20176
(571) 291-2432
(703) 542-4254
Mailing address
44125 WOODRIDGE PKWY, SUITE 180, LANSDOWNE, VA 20176
(571) 291-2432
(703) 542-4254

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101245181
VA
207W00000X
Ophthalmology Physician
226841
NY
207W00000X
Ophthalmology Physician
Primary
TL31098
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659542801
RAILROAD MEDICARE
SC
05
1659542801
SC
Enumeration date
03/17/2008
Last updated
01/06/2010
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