Provider Demographics
NPI:1194085027
Name:ABBASI, FAUZIA H (MD, MPH)
Entity type:Individual
Prefix:
First Name:FAUZIA
Middle Name:H
Last Name:ABBASI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 CHAIN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4080
Mailing Address - Country:US
Mailing Address - Phone:703-246-4949
Mailing Address - Fax:703-352-0217
Practice Address - Street 1:4080 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4080
Practice Address - Country:US
Practice Address - Phone:703-246-4949
Practice Address - Fax:703-352-0217
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012444112083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine