Healthcare Provider Details

I. General information

NPI: 1487341251
Provider Name (Legal Business Name): BURKE HEALTHCARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 05/03/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8988 FERN PARK DR
BURKE VA
22015-1635
US

IV. Provider business mailing address

8988 FERN PARK DR
BURKE VA
22015-1635
US

V. Phone/Fax

Practice location:
  • Phone: 703-978-6061
  • Fax:
Mailing address:
  • Phone: 703-978-6061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OMER ABDULLAH
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 703-978-6061