Individual
MAHMUD R. ELBACKUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7964 ARDEN CT, DUNN LORING, VA 22027-1002
(703) 573-8971
(703) 573-8971
Mailing address
7964 ARDEN CT, DUNN LORING, VA 22027-1002
(703) 573-8971
(703) 573-8971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0057944
MD
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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