Provider Demographics
NPI:1093158461
Name:VALENTIN, MONICA NABIL SALEH (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:NABIL SALEH
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:NABIL SALEH
Other - Last Name:ANDRAWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11351 RANDOM HILLS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6081
Mailing Address - Country:US
Mailing Address - Phone:443-351-3376
Mailing Address - Fax:
Practice Address - Street 1:11351 RANDOM HILLS RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:443-351-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2018-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264580207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty