Provider Demographics
NPI:1790880722
Name:ABDELBAKEY, AYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:
Last Name:ABDELBAKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AYMAN
Other - Middle Name:
Other - Last Name:ABDEL BAKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:20905 PROFESSIONAL PLZ
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7783
Mailing Address - Country:US
Mailing Address - Phone:703-858-9841
Mailing Address - Fax:703-858-9446
Practice Address - Street 1:20905 PROFESSIONAL PLZ
Practice Address - Street 2:SUITE # 220
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7783
Practice Address - Country:US
Practice Address - Phone:703-858-9841
Practice Address - Fax:703-858-9446
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012321232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101232123OtherLICENSE NUMBER
VA0101232123OtherLICENSE NUMBER