Provider Demographics
NPI:1598916496
Name:ALHAZMI, RAYAN A (MD)
Entity Type:Individual
Prefix:
First Name:RAYAN
Middle Name:A
Last Name:ALHAZMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 QUANTRELL AVE
Mailing Address - Street 2:APT 422
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2735
Mailing Address - Country:US
Mailing Address - Phone:202-489-2125
Mailing Address - Fax:
Practice Address - Street 1:5800 QUANTRELL AVE
Practice Address - Street 2:APT 422
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2735
Practice Address - Country:US
Practice Address - Phone:202-489-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC152008207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine