Provider Demographics
NPI:1295296986
Name:HALIM, ABDUL BASIR (MD)
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:BASIR
Last Name:HALIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9572 LINNETT HILL DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2779
Mailing Address - Country:US
Mailing Address - Phone:202-412-5727
Mailing Address - Fax:
Practice Address - Street 1:9572 LINNETT HILL DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2779
Practice Address - Country:US
Practice Address - Phone:202-412-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101278422208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty