Provider Demographics
NPI:1588067573
Name:ABDULKADIR A. SALHAN, M.D. PC
Entity type:Organization
Organization Name:ABDULKADIR A. SALHAN, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULKADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-460-9178
Mailing Address - Street 1:3705 S GEORGE MASON DR
Mailing Address - Street 2:SUITE 1213
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3759
Mailing Address - Country:US
Mailing Address - Phone:240-460-9178
Mailing Address - Fax:703-379-4530
Practice Address - Street 1:3705 S GEORGE MASON DR
Practice Address - Street 2:SUITE 1213
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3759
Practice Address - Country:US
Practice Address - Phone:240-460-9178
Practice Address - Fax:703-379-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235624207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101235624OtherLICENSE