Provider Demographics
NPI:1568108199
Name:ALBOKAIE, AMAN IHSAN (RPH)
Entity Type:Individual
Prefix:
First Name:AMAN
Middle Name:IHSAN
Last Name:ALBOKAIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25892 RACING SUN DR
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-5858
Mailing Address - Country:US
Mailing Address - Phone:571-425-8073
Mailing Address - Fax:
Practice Address - Street 1:14361 NEWBROOK DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-4228
Practice Address - Country:US
Practice Address - Phone:571-525-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2022019004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist