Abdul Fatah Kakar, SA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

6355 Walker LN
Alexandria, VA 22310-3245

Phone

(703) 732-3636

NPI assigned

May 19, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1508503582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 E HILL DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792431",
            "telephone_number": "703-732-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-732-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAR",
        "first_name": "ABDUL",
        "middle_name": "FATAH",
        "credential": "SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kairos Care LLC
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc
• Micah Patrick Kaiser, DO, MS
• Nusrat Kaleem
• Kaitlyn Kalfus
• Isatu Yakatie Kaloko
• Louis Bwana Kalombo, DDS
• Irvin Kalugdan

• Surgical Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.