Provider Demographics
NPI:1013706233
Name:ZAHRAN, RADWA
Entity type:Individual
Prefix:
First Name:RADWA
Middle Name:
Last Name:ZAHRAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 28TH ST S APT 5
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3237
Mailing Address - Country:US
Mailing Address - Phone:561-425-4044
Mailing Address - Fax:
Practice Address - Street 1:611 S CARLIN SPRINGS RD STE 105
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1061
Practice Address - Country:US
Practice Address - Phone:703-379-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist