Provider Demographics
NPI:1003267543
Name:HASSEN, ROZA H (MD)
Entity Type:Individual
Prefix:
First Name:ROZA
Middle Name:H
Last Name:HASSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 N GLEBE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5758
Mailing Address - Country:US
Mailing Address - Phone:571-492-3045
Mailing Address - Fax:571-492-3046
Practice Address - Street 1:1005 N GLEBE RD STE 160
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201
Practice Address - Country:US
Practice Address - Phone:571-492-3045
Practice Address - Fax:571-492-3046
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT212194207Q00000X
VA0101267727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine