Provider Demographics
NPI:1750851556
Name:ALI, ABDELSHAFIE
Entity Type:Individual
Prefix:
First Name:ABDELSHAFIE
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 S GEORGE MASON DR APT 2103
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-4792
Mailing Address - Country:US
Mailing Address - Phone:571-315-8315
Mailing Address - Fax:
Practice Address - Street 1:3705 S GEORGE MASON DR APT 2103
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-4792
Practice Address - Country:US
Practice Address - Phone:571-315-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)