Provider Demographics
NPI:1639189194
Name:AKBARY, WASEL SAYED (DO)
Entity Type:Individual
Prefix:
First Name:WASEL
Middle Name:SAYED
Last Name:AKBARY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12255 FAIR LAKES PKWY
Mailing Address - Street 2:FAIR OAKS MEDICAL CENTER, KAISER PERMANENTE
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3952
Mailing Address - Country:US
Mailing Address - Phone:703-934-5700
Mailing Address - Fax:703-934-5778
Practice Address - Street 1:12255 FAIR LAKES PKWY
Practice Address - Street 2:FAIR OAKS MEDICAL CENTER, KAISER PERMANENTE
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3952
Practice Address - Country:US
Practice Address - Phone:703-934-5700
Practice Address - Fax:703-934-5778
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2011-11-28
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Provider Licenses
StateLicense IDTaxonomies
VA0102201738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010195551Medicaid
VA1639189194Medicaid
VA010195551Medicaid
I43347Medicare UPIN
022156I37Medicare PIN