Basic Information
| Provider Information | |||||||||
| NPI: | 1174637888 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANEZ | ||||||||
| FirstName: | YASMIN | ||||||||
| MiddleName: | K. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8365A GREENSBORO DR | ||||||||
| Address2: | |||||||||
| City: | MCLEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221023530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033564444 | ||||||||
| FaxNumber: | 7037340129 | ||||||||
| Practice Location | |||||||||
| Address1: | 8365A GREENSBORO DR | ||||||||
| Address2: | |||||||||
| City: | MCLEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221023530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033564444 | ||||||||
| FaxNumber: | 7037340129 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | 0101035273 | VA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine |
No ID Information.