Provider Demographics
NPI:1861561185
Name:SAMII, ABDOL R (MD)
Entity type:Individual
Prefix:DR
First Name:ABDOL
Middle Name:R
Last Name:SAMII
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDOL
Other - Middle Name:R
Other - Last Name:SAMII
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:43873 ARBORVITAE DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5661
Mailing Address - Country:US
Mailing Address - Phone:703-729-4483
Mailing Address - Fax:
Practice Address - Street 1:43873 ARBORVITAE DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5661
Practice Address - Country:US
Practice Address - Phone:703-729-4483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010584422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology