MEDICARE: WASEL SAYED AKBARY DO

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	207R00000X	Internal Medicine Physician	0102201738	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639189194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WASEL SAYED AKBARY DO

Provider Business Mailing Address
First Line	:	12255 FAIR LAKES PKWY
Second Line	:	FAIR OAKS MEDICAL CENTER, KAISER PERMANENTE
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3952
Country	:	US
Telephone Number	:	703-934-5700
Fax Number	:	703-934-5778

Provider Business Practice Location Address
First Line	:	12255 FAIR LAKES PKWY
Second Line	:	FAIR OAKS MEDICAL CENTER, KAISER PERMANENTE
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3952
Country	:	US
Telephone Number	:	703-934-5700
Fax Number	:	703-934-5778

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	11/28/2011

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