Individual
DR. ANDREA KASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4375 FAIR LAKES CT FL 3, FAIRFAX, VA 22033-4234
(571) 432-2600
Mailing address
9230 OLD KEENE MILL RD # 1036, BURKE, VA 22015-4201
(571) 432-2600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101272756
VA
207N00000X
Dermatology Physician
25MA09182700
NJ
207N00000X
Dermatology Physician
266015
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
0101272756
VA
Other
Enumeration date
06/30/2009
Last updated
12/17/2025
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