Provider Demographics
NPI:1568214526
Name:RAAD, ALIA NABIL (OD)
Entity Type:Individual
Prefix:DR
First Name:ALIA
Middle Name:NABIL
Last Name:RAAD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1881
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30077-1881
Mailing Address - Country:US
Mailing Address - Phone:678-799-1916
Mailing Address - Fax:
Practice Address - Street 1:1100 S HAYES ST # H03A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-4907
Practice Address - Country:US
Practice Address - Phone:703-415-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003389152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist