Provider Demographics
NPI:1841179041
Name:ELSOUDANI, DALIA
Entity type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:ELSOUDANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 WESCOTT HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-4742
Mailing Address - Country:US
Mailing Address - Phone:703-313-1765
Mailing Address - Fax:
Practice Address - Street 1:5940 WESCOTT HILLS WAY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-4742
Practice Address - Country:US
Practice Address - Phone:703-313-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist