Provider Demographics
NPI:1194286898
Name:ALKAKHAN, WALEED RABAH (DDS, MSD, MA)
Entity type:Individual
Prefix:DR
First Name:WALEED
Middle Name:RABAH
Last Name:ALKAKHAN
Suffix:
Gender:
Credentials:DDS, MSD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 S QUINCY ST APT 1224
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2362
Mailing Address - Country:US
Mailing Address - Phone:703-489-3226
Mailing Address - Fax:
Practice Address - Street 1:2727 S QUINCY ST APT 1224
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-2362
Practice Address - Country:US
Practice Address - Phone:703-489-3226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014167691223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics