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Organization
CAPITOL ANESTHESIA GROUP LLC
Active
Organization
CAPITOL ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HEGAB MD (MEMBER)
(703) 716-1097
Entity
Organization
Contact information
Practice address
3028 JAVIER RD STE 400, FAIRFAX, VA 22031-4622
(703) 716-1097
(703) 828-0942
Mailing address
PO BOX 221732, CHANTILLY, VA 20153-1732
(703) 716-1097
(703) 828-0942
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/17/2011
Last updated
03/05/2021
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