Provider Demographics
NPI:1154860724
Name:RAKIN, SEHER (PA-C)
Entity Type:Individual
Prefix:
First Name:SEHER
Middle Name:
Last Name:RAKIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1621
Mailing Address - Country:US
Mailing Address - Phone:571-383-5294
Mailing Address - Fax:
Practice Address - Street 1:6319 CASTLE PL STE 2C
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1907
Practice Address - Country:US
Practice Address - Phone:703-820-7520
Practice Address - Fax:703-820-9570
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-005682363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant