Healthcare Provider Details

I. General information

NPI: 1275153710
Provider Name (Legal Business Name): AHMED ALADHAM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 ARLINGTON BLVD STE 104
FAIRFAX VA
22031-5216
US

IV. Provider business mailing address

1201 SEVEN LOCKS RD STE 200A
ROCKVILLE MD
20854-2931
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-1313
  • Fax: 703-560-7148
Mailing address:
  • Phone: 301-907-3939
  • Fax: 301-656-3943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0102207759
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102207759
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: