Search › Virginia › 106S00000X
Tebyan Ismail
NPI 1073175220 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11200 Waples Mill Rd Ste 100
Fairfax, VA 22030 - Phone
- (703) 237-2219
- Clinicians at this address
- 166
Additional practice sites
- 7529 Standish Pl Ste 355, Rockville, MD
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia