Provider Demographics
NPI:1790838118
Name:ABDEL-MEGEED, SUMMER (MD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:ABDEL-MEGEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 OPITZ BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3362
Mailing Address - Country:US
Mailing Address - Phone:703-523-1720
Mailing Address - Fax:855-210-2389
Practice Address - Street 1:1900 OPITZ BLVD STE F
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3320
Practice Address - Country:US
Practice Address - Phone:703-490-3997
Practice Address - Fax:703-491-3376
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101248717207R00000X
NMMD20060796207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine