Doctor Name: | DR. THONIA HAFEZ GAB-ALLAH |
NPI Number: | 1306182126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101040597 |
Business Practice Address: | 3245 Glen Carlyn Rd Falls Church, VA - 220412432 |
Business Phone Number: | 5714991102 |
Business Fax Number: | |
Mailing Address: | Po Box 8332, FALLS CHURCH |
State: | VA |
Postal Code: | 220418332 |
Phone Number: | 5714991102 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2012 |
NPI Last Update Date: | 12/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101040597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |