Provider Demographics
NPI:1619766508
Name:SAHID, ALIE S
Entity type:Individual
Prefix:
First Name:ALIE
Middle Name:S
Last Name:SAHID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HAMPTON PARK RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-3721
Mailing Address - Country:US
Mailing Address - Phone:571-234-3443
Mailing Address - Fax:
Practice Address - Street 1:55 HAMPTON PARK RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-3721
Practice Address - Country:US
Practice Address - Phone:571-234-3443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001208827163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse