DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ESAM AL NOUMAN LSA

MEDICARE: ESAM AL NOUMAN LSA
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
1246ZC0007XSurgical Assistant0136000372VA

General Provider Information

NPI Number : 1417253816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESAM AL NOUMAN LSA
Provider Business Mailing Address
First Line : PO BOX 45718
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-5718
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Provider Business Practice Location Address
First Line : 12011 LEE JACKSON MEMORIAL HWY STE 501
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-3315
Country : US
Telephone Number : 571-243-1066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2011
Last Update Date : 08/14/2023

Similar Medicare Providers

1366305088 — MICHEL KATULA
Practice Location Address:
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA
22033-3315
Practice Phone: 703-259-7027
Practice Fax:
1821951450 — EBADULLAH WAHIDI
Practice Location Address:
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA
22033-3315
Practice Phone: 703-259-7027
Practice Fax: 703-259-7027
1689538787 — BRISTOL HOSPICE - FAIRFAX, LLC
Practice Location Address:
12011 ROUTE 50 STE 510
FAIRFAX, VA
22033-3315
Practice Phone: 703-977-9005
Practice Fax:
1649540550 — DR. ESSAM A. FAWZY SA-C
Practice Location Address:
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA
22033-3315
Practice Phone: 703-259-7027
Practice Fax:
1760882047 — ELAINE VILORIA SA-C
Practice Location Address:
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA
22033-3315
Practice Phone: 703-259-7027
Practice Fax:
1568842771 — MR. SHAH NOORISTANI
Practice Location Address:
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA
22033-3315
Practice Phone: 703-725-3359
Practice Fax:

Directions to “ ESAM AL NOUMAN LSA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.