Healthcare Provider Details

I. General information

NPI: 1174216683
Provider Name (Legal Business Name): HUGH ABE M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 S GLEBE RD
ARLINGTON VA
22204-2640
US

IV. Provider business mailing address

925 S GLEBE RD
ARLINGTON VA
22204-2640
US

V. Phone/Fax

Practice location:
  • Phone: 571-417-7112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101289748
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: