Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREA KASSIM, M.D.
Active Sole ProprietorDR. ANDREA KASSIM, M.D. is a 2083A0300X healthcare provider located in FAIRFAX, Virginia. NPI 1689802647 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · FAIRFAX, VA
Registration Details
- NPI Number
- 1689802647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2009 (17.157845469275 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
0101272756 (VA)266015 (NY)0101272756 (VA)25MA09182700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4375 FAIR LAKES CT FL 3FAIRFAX, VA, 220334234Browse VA providers · Browse ZIP 22033
- Phone
- 5714322600
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.