Healthcare Provider Details

I. General information

NPI: 1427367416
Provider Name (Legal Business Name): HALA MOHAMMAD ABDALLAH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PIDGEON HILL DR SUITE 109
STERLING VA
20165-6154
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 703-956-9045
  • Fax: 703-956-9822
Mailing address:
  • Phone: 410-933-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101219628
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number0101219628
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: