Active NPI
Abdul Wahab M D P C
- Nephrology Physician
- Falls Church, VA
National Provider Identifier
1902178726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101048306
- Legal business name
- ABDUL WAHAB M D P C
- Practice address
- 6400 Arlington Blvd
940
Falls Church, VA 22042-2325 - Phone
- (703) 241-1010
- Fax
- (703) 241-7723
- NPI assigned
- Feb 9, 2012
- Last updated
- Feb 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abdul Wahab, MD
- Title
- Physician
- Phone
- (703) 241-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0101048306 | VA | Primary |
Addresses
Primary practice location
6400 Arlington Blvd
940
Falls Church, VA 22042-2325
Mailing address
6400 Arlington Blvd
940
Falls Church, VA 22042-2325
Phone (703) 241-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5604451 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6365 Rolling Mill Pl
Ste 103
Springfield, VA 22152
Phone (703) 569-6686
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1699848804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1902178726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 ARLINGTON BLVD",
"address_2": "940",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422325",
"telephone_number": "703-241-1010",
"fax_number": "703-241-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 ARLINGTON BLVD",
"address_2": "940",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422325",
"telephone_number": "703-241-1010",
"fax_number": "703-241-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABDUL WAHAB M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "WAHAB",
"authorized_official_first_name": "ABDUL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "703-241-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101048306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5604451",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.