Provider Demographics
NPI:1336212141
Name:NAYYAR, RASHID (MD)
Entity Type:Individual
Prefix:
First Name:RASHID
Middle Name:
Last Name:NAYYAR
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 1:2000 NORTH BEAUREGARD STREET
Mailing Address - Street 2:STE 360
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311
Mailing Address - Country:US
Mailing Address - Phone:703-924-9004
Mailing Address - Fax:703-924-9067
Practice Address - Street 1:2000 NORTH BEAUREGARD ST.
Practice Address - Street 2:STE 360
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311
Practice Address - Country:US
Practice Address - Phone:703-924-9004
Practice Address - Fax:703-924-9067
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231228207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5859051Medicaid
VA010188946Medicaid
G18300Medicare UPIN
VA010188946Medicaid