Dr. Andrea Kassim, M.D.
Preventive Medicine, Addiction Medicine in Fairfax, VA. Individual provider (NPI-1).
NPI number1689802647
StatusActive
Last updated in NPPESDec 17, 2025
Details
- NPI
- 1689802647
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrea Kassim
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2009
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083A0300X | Preventive Medicine, Addiction Medicine | 0101272756 | VA | Yes |
| 207N00000X | Dermatology | 266015 | NY | |
| 207N00000X | Dermatology | 0101272756 | VA | |
| 207N00000X | Dermatology | 25MA09182700 | NJ |
Practice location
4375 Fair Lakes Ct Fl 3Fairfax, VA 22033-4234
Phone 571-432-2600
Mailing address
9230 Old Keene Mill Rd # 1036Burke, VA 22015-4201
Phone 571-432-2600
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