Provider Demographics
NPI:1659390524
Name:ASSADI, HAMID S (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:S
Last Name:ASSADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 CHAIN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-5517
Mailing Address - Country:US
Mailing Address - Phone:703-261-6550
Mailing Address - Fax:703-261-6279
Practice Address - Street 1:2555 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181
Practice Address - Country:US
Practice Address - Phone:703-261-6550
Practice Address - Fax:703-261-6279
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine