Provider Demographics
NPI:1881589950
Name:ABID, REZAUL (PHD, MENG)
Entity type:Individual
Prefix:DR
First Name:REZAUL
Middle Name:
Last Name:ABID
Suffix:
Gender:M
Credentials:PHD, MENG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24850 HOGUE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-5974
Mailing Address - Country:US
Mailing Address - Phone:515-978-1772
Mailing Address - Fax:
Practice Address - Street 1:50 CATOCTIN CIR NE STE 101
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3101
Practice Address - Country:US
Practice Address - Phone:571-556-2892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X, 374U00000X, 2255A2300X, 101Y00000X, 376J00000X, 372600000X, 225C00000X, 376K00000X
VAAIHM202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health Aide
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No376K00000XNursing Service Related ProvidersNurse's Aide