DR. BASSEMA A ANTABLI (NPI# 1912058736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912058736 |
| Entity Type | Individual |
| Full Name | DR. BASSEMA A ANTABLI |
| Credential | M.D. |
| Practice Address |
12255 Fair Lakes Parkway Fairfax VA 22033 |
| Mailing Address |
2101 East Jefferson Street Kaiser Permanente, Ppqa, 6 West Rockville MD 20874 |
| Practice Telephone | 7039345700 |
| Practice Fax Number | 7039345778 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D54763 | MD | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD30549 | DC | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
0101053020 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
12255 FAIR LAKES PARKWAY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588741995 | Lynn C Healey | Optometrist | 12255 Fair Lakes Parkway, Kaiser Permanente, Fairfax, VA 22033 | 2006-11-01 |
| 1598186504 | Anne Heyer Dremluk | Registered Nurse | 12255 Fair Lakes Parkway, Kiaser Palmente, Fairfax, VA 22033 | 2013-12-17 |
| 1033263900 | Wa-lee L Courtney | Optometrist | 12255 Fair Lakes Parkway, Fairfax, VA 22033 | 2007-01-22 |
| 1407906258 | Amanda C Brooks | Nurse Practitioner | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2007-01-12 |
| 1194874172 | Cynthia Nwokeuku Austin | Obstetrics & Gynecology | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2007-01-09 |
| 1669529194 | Suzanne Eacker Curran | Obstetrics & Gynecology | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2007-01-05 |
| 1992861496 | John E.w. Beach | Internal Medicine | 12255 Fair Lakes Parkway, Fairfax, VA 22033 | 2006-12-29 |
| 1568526655 | Hamda Ghaffari Obrien | Midwife | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2006-12-21 |
| 1922162189 | Rebecca D Filla | Obstetrics & Gynecology | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2006-12-21 |
| 1770645368 | Swati Sudheer Shirali | Orthopaedic Surgery | 12255 Fair Lakes Parkway, Fairfax, VA 22033-4512 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942628458 | Joshua Allen | Internal Medicine | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2014-04-01 |
| 1538140306 | Donald Trump | Internal Medicine | 3225 Gallows Rd, Fairfax, VA 22031-4872 | 2005-11-09 |
| 1275097123 | Inova Health Care Services | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-01-24 |
| 1033438270 | Kathleen Kiernan Harnden | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2010-05-27 |
| 1528281375 | Adam Louis Cohen | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2007-04-10 |
| 1003851460 | Michael Maitland | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2006-06-19 |
| 1346280708 | Nova Oncology Associates, PC | Internal Medicine | 3020 Hamaker Ct, Suite 101, Fairfax, VA 22031-2238 | 2006-06-07 |
| 1205803202 | Anne M Favret | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4629 | 2006-03-08 |
| 1528035532 | Roy A Beveridge | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770996373 | Fady Mamdouh Fayek Tawadros | Internal Medicine | 6719 Gov Gc Peery Hwy Ste 1250, Richlands, VA 24641-0379 | 2014-06-11 |
| 1750700209 | Ko Ko Maung | Internal Medicine | 7544 Medical Dr Ste B, Gloucester, VA 23061-4299 | 2014-04-14 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1417164476 | Farn Chan | Internal Medicine | 2280 Opitz Blvd Ste 220, Woodbridge, VA 22191-3362 | 2007-05-17 |
| 1063639011 | John Nhu Khuu | Internal Medicine | 44045 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5101 | 2007-04-19 |
| 1841372356 | Pranav D. Patel | Internal Medicine | 545 Sunset Ln, Culpeper, VA 22701-3914 | 2006-10-20 |
| 1386687358 | Robert Gary Fenton | Internal Medicine | 6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336 | 2006-06-14 |
| 1073556718 | Drury M Stith | Internal Medicine | 10085 William F. Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 1114996170 | Manoel Moraes Jr. | Internal Medicine | 44055 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5177 | 2006-03-14 |
| 1659376986 | Vikram K Chand | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2005-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.