Waleed Rabah Alkakhan, DDS, MSD, MA
Individual provider Active NPI Periodontics · MC Lean, VA
NPI 1194286898 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1194286898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 0401416769 (VA)
- Practice address
- 1355 Beverly Rd Ste 210
MC Lean, VA 22101-3654 - Phone
- (703) 288-3570
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416769 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Periodontics and Implants PLLC | Current |
Accepting new patients | |
| Wra Perio, PLLC | Current |
Accepting new patients |
Locations
1355 Beverly Rd
Ste 210
McLean, VA 22101
Phone (703) 288-3570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401416769 | VA | Yes |
Addresses
Primary practice location
1355 Beverly Rd Ste 210
MC Lean, VA 22101-3654
Mailing address
1355 Beverly Rd Ste 210
MC Lean, VA 22101-3654
Phone (703) 288-3570
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.