Individual
MOBASHAR AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 ELDEN ST # A, SUITE 102, HERNDON, VA 20170-5529
(703) 707-3707
(703) 707-9010
Mailing address
1110 ELDEN ST # A, SUITE 102, HERNDON, VA 20170-5529
(703) 707-3707
(703) 707-9010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101049338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386123
ANTHEM BC/BS
VA
01
—
5966669
AETNA PPO
VA
01
—
G82400001
CAREFIRST BC/BS
VA
Enumeration date
06/29/2006
Last updated
07/08/2007
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