Individual
KHALED WALLY KABBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, NPT-2, FALLS CHURCH, VA 22042
(703) 776-3582
Mailing address
3300 GALLOWS RD, DEPT OF MEDICINE, NPT-2, FALLS CHURCH, VA 22042
(703) 776-3582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101274244
VA
207R00000X
Internal Medicine Physician
D0094874
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/16/2019
Last updated
11/25/2022
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