Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebadullah Wahidi

Individual provider Surgical Assistant · NPI 1821951450

Ebadullah Wahidi is a Surgical Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

12011 Lee Jackson Hwy Ste 501
Fairfax, VA 22033-3315
Phone: (703) 259-7027
Fax: (703) 259-7027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136001073 (VA)

Record details

NPI number1821951450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing addressPo Box 221135, Chantilly, VA 20153-1135

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