Provider Demographics
NPI:1659866846
Name:RASOOL, YASAMIN ABBASZADEH (DDS)
Entity type:Individual
Prefix:DR
First Name:YASAMIN
Middle Name:ABBASZADEH
Last Name:RASOOL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11057 BISHOPSGATE CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1401
Mailing Address - Country:US
Mailing Address - Phone:240-751-8592
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW STE 709
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1496
Practice Address - Country:US
Practice Address - Phone:202-750-8718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN20003581223G0001X
VA0401416128122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice