Provider Demographics
NPI:1508993833
Name:HASSAN, RANA MICHELLE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RANA
Middle Name:MICHELLE
Last Name:HASSAN
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 1:5506 RIDGETON HILL CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-4027
Mailing Address - Country:US
Mailing Address - Phone:703-304-0825
Mailing Address - Fax:703-641-9040
Practice Address - Street 1:45155 RESEARCH PL
Practice Address - Street 2:SUITE 140
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-4191
Practice Address - Country:US
Practice Address - Phone:703-858-0500
Practice Address - Fax:703-858-5155
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001718363AM0700X
MDC0002771363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical