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Abdi Mohamed Abdirahman

Specialist/Technologist, Other, Surgical Assistant in Reston, VA. Individual provider (NPI-1).

NPI number1548149602
StatusActive
Last updated in NPPESSep 1, 2025

Details

NPI
1548149602
Entity type
Individual (NPI-1)
Name
Abdi Mohamed Abdirahman
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 1, 2025
Certification date
Sep 1, 2025
Last updated
Sep 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant5559VAYes

Practice location

1850 Town Center Pkwy
Reston, VA 20190-3204

Phone 703-689-9000

Mailing address

9040 Connor House Rd Apt 102
Manassas, VA 20111-7214

Phone 571-599-6900

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Other Specialist/Technologist, Other, Surgical Assistant providers in Reston, VA

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