Organization
CHILDREN'S HEART INSTITUTE
Active
Other names
Children's Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN I. ABDALLAH M.D. (MEDICAL DIRECTOR)
(703) 481-5801
Entity
Organization
Contact information
Practice address
171 ELDEN STREET, STE. 2C4, HERNDON, VA 20170
(571) 612-2600
(571) 266-4096
Mailing address
P.O. BOX 10066, MCLEAN, VA 22102
(571) 612-2600
(571) 266-4096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006716512
—
VA
Enumeration date
05/11/2006
Last updated
03/31/2014
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