Individual
INSIYA H NASRULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 202, FAIRFAX, VA 22031-2253
(703) 852-7020
(703) 289-4612
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
291759
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
0101277221
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2014
Last updated
03/12/2024
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