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Nabil S Andrawis

Internal Medicine

Allopathic & Osteopathic Physicians

5631 Burke Centre Pkwy, Suite A, Burke, VA 22015-2234

PECOS Enrollment

This provider is enrolled in PECOS as NABIL ANDRAWIS.

Based on the most recent information from CMS, provider Nabil S Andrawis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:50 AM.

Profile Details

Provider ID
1356310551
Provider Type
Individual
Full Name
Andrawis, Nabil S
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/17/2006
Last Updated
7/12/2011

Contact Information

Practice Location

5631 Burke Centre Pkwy, Suite A, Burke, VA 22015-2234

(703) 250-5171

(703) 250-5170

Mailing Location

5631 Burke Centre Pkwy, Suite A, Burke, VA 22015-2234

(703) 250-5171

(703) 250-5170

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101053160 Virginia

Provider Identifiers

ID	Description	Issuer
ID 5802547	Description Medicaid	Issuer Unlisted Virginia

Nabil S Andrawis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ghali, Emil Zaki

Kololgi, Bina Sunil

Edward Barbano, M.D., P.C.

Abdullah, Omer

Amjed, Isra

Gabra, Nashwa W

Julio A Dejo Md Pc

Della-Santina, Christopher Palmer

Khan, Usman Tariq

Frye, Krysta Stephanie