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Individual

DR. BASSEMA A ANTABLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033
(703) 934-5700
(703) 934-5778
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ROCKVILLE, MD 20874
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101053020
VA
207RX0202X
Medical Oncology Physician
D54763
MD
207RX0202X
Medical Oncology Physician
MD30549
DC

Other

Enumeration date
01/16/2007
Last updated
12/01/2021
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