Provider Demographics
NPI:1457487142
Name:NESEEM, KAHKASHAN (BS)
Entity Type:Individual
Prefix:MISS
First Name:KAHKASHAN
Middle Name:
Last Name:NESEEM
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:KAHKASHAN
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:3800 FAIRFAX DR
Mailing Address - Street 2:APPARTMENT#306
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1711
Mailing Address - Country:US
Mailing Address - Phone:703-243-9343
Mailing Address - Fax:
Practice Address - Street 1:3800 FAIRFAX DR
Practice Address - Street 2:APPARTMENT#306
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1711
Practice Address - Country:US
Practice Address - Phone:703-243-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist