MEDICARE: DR. REZAUL ABID PHD, M.ENG

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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	374U00000X	Home Health Aide
4	2255A2300X	Athletic Trainer
5	101Y00000X	Counselor
6	376J00000X	Homemaker
7	372600000X	Adult Companion
8	225C00000X	Rehabilitation Counselor
9	376K00000X	Nurse's Aide
10	202D00000X	Integrative Medicine Physician	AIHM	VA

General Provider Information

NPI Number	:	1881589950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REZAUL ABID PHD, M.ENG

Provider Business Mailing Address
First Line	:	24850 HOGUE CREEK CT
Second Line	:
City	:	ALDIE
State	:	VA
Zip	:	20105-5974
Country	:	US
Telephone Number	:	515-978-1772
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 CATOCTIN CIR NE STE 101
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-3101
Country	:	US
Telephone Number	:	571-556-2892
Fax Number	:

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

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	10/15/2025

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