Individual
ANISSA RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 31ST ST S STE A, ARLINGTON, VA 22206-1663
(703) 341-9849
Mailing address
2500 GLENLAWN PL, HERNDON, VA 20171-2976
(703) 341-9849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266874
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101266874
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101266874
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
05/27/2019
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