Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101257500 | VA |
N | 208000000X | Pediatrician | MD040551 | DC |
Y | 2080P0210X | Pediatric Nephrologist | 0101257500 | VA |
N | 2080P0210X | Pediatric Nephrologist | MD040551 | DC |
NPI | 1326276981 |
---|---|
Provider Name | Rasheda Z Amin |
First Address | Fairfax, VA 22031-2241 |
Second Address | Fairfax, VA 22031-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 11/06/2021 |