Provider Demographics
NPI:1194534586
Name:ABDUL RAHIMZAI, AHMAD SOHAIL
Entity type:Individual
Prefix:
First Name:AHMAD SOHAIL
Middle Name:
Last Name:ABDUL RAHIMZAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5533 N MORGAN ST APT 304
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-5583
Mailing Address - Country:US
Mailing Address - Phone:571-550-0176
Mailing Address - Fax:
Practice Address - Street 1:5533 N MORGAN ST APT 304
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5583
Practice Address - Country:US
Practice Address - Phone:571-550-0176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA333432453171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter