1578318176 NPI number — NOURHAN REDA ABDEL ALNAFRAWY RPH

Table of content: NOURHAN REDA ABDEL ALNAFRAWY RPH (NPI 1578318176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578318176 NPI number — NOURHAN REDA ABDEL ALNAFRAWY RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALNAFRAWY
Provider First Name:
NOURHAN
Provider Middle Name:
REDA ABDEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALNAFRAWY
Provider Other First Name:
NOURHAN
Provider Other Middle Name:
REDA ABDEL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RPH
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1578318176
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 PIMMIT DR APT 1015
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALLS CHURCH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22043-2839
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-595-4141
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 S JOYCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22202-2079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-413-6280
Provider Business Practice Location Address Fax Number:
703-413-6282
Provider Enumeration Date:
04/18/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  0202221931 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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