Healthcare Provider Details

I. General information

NPI: 1316869092
Provider Name (Legal Business Name): MR. SYED NAJAM UL HASSAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17052 BEVERIDGE DR
DUMFRIES VA
22026-2774
US

IV. Provider business mailing address

17052 BEVERIDGE DR
DUMFRIES VA
22026-2774
US

V. Phone/Fax

Practice location:
  • Phone: 209-209-9424
  • Fax:
Mailing address:
  • Phone: 209-209-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: