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NPI Code Detail

MEDICARE: SAHRA M ISMAIL

MEDICARE:   SAHRA M ISMAIL
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
1374U00000XHome Health AideHCO-12594VA

General Provider Information

NPI Number : 1306106570
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHRA M ISMAIL
Provider Business Mailing Address
First Line : 44075 SAXONY TER
Second Line :
City : ASHBURN
State : VA
Zip : 20147-4923
Country : US
Telephone Number : 571-308-5892
Fax Number :
Provider Business Practice Location Address
First Line : 13800 COPPERMINE RD
Second Line :
City : HERNDON
State : VA
Zip : 20171-6163
Country : US
Telephone Number : 571-308-5892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2012
Last Update Date : 03/27/2024

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Directions to “ SAHRA M ISMAIL ” Practice Location

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