Provider Demographics
NPI:1578542841
Name:HAJI, ABDUL QADIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:QADIR
Last Name:HAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19676 PLAYER CT
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5230
Mailing Address - Country:US
Mailing Address - Phone:703-801-2049
Mailing Address - Fax:703-780-9077
Practice Address - Street 1:611 S CARLIN SPRINGS RD STE 301
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1086
Practice Address - Country:US
Practice Address - Phone:703-801-2041
Practice Address - Fax:703-780-9077
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244590207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1578542841Medicaid
P00178668OtherRAILROAD MEDICARE
VA019719M51Medicare PIN
DC152319ZAM8Medicare PIN