MEDICARE: MS. TAHMINA SEDIKI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1265294755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAHMINA SEDIKI PA-C

Provider Business Mailing Address
First Line	:	42685 GALBRAITH SQ
Second Line	:
City	:	BROADLANDS
State	:	VA
Zip	:	20148-4175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20041 RIVERSIDE COMMONS PLZ
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-5151
Country	:	US
Telephone Number	:	703-466-0447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	04/22/2024

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