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Contact Information

ANDREA KASSIM, MD
4375 FAIR LAKES CT FL 3
FAIRFAX, VA22033-4234
 Phone: 571-432-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ANDREA KASSIM · (Female)

NPI Number 1689802647
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2009
Last updated 12/17/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA09182700
  • NY License # 266015
  • VA License # 0101272756
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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