Provider Demographics
NPI:1467160655
Name:ALWARITH, JIHAD
Entity Type:Individual
Prefix:
First Name:JIHAD
Middle Name:
Last Name:ALWARITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 CARRINGTON RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-1754
Mailing Address - Country:US
Mailing Address - Phone:703-944-2851
Mailing Address - Fax:
Practice Address - Street 1:1432 CARRINGTON RIDGE LN
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-1754
Practice Address - Country:US
Practice Address - Phone:703-944-2851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical