Provider Demographics
NPI:1992131288
Name:YASIR, ABDIRAHMAN A
Entity type:Individual
Prefix:MR
First Name:ABDIRAHMAN
Middle Name:A
Last Name:YASIR
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 1:6269 LEESBURG PIKE STE 306
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2103
Mailing Address - Country:US
Mailing Address - Phone:703-533-3623
Mailing Address - Fax:703-533-3625
Practice Address - Street 1:6269 LEESBURG PIKE STE 306
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2103
Practice Address - Country:US
Practice Address - Phone:703-533-3623
Practice Address - Fax:703-533-3625
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide