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Individual

MUBASHIR A KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4720 PUDDLEDOCK RD, SUITE 100, PRINCE GEORGE, VA 23875-1237
(804) 452-4546
(804) 452-4549
Mailing address
4720 PUDDLEDOCK RD, SUITE 100, PRINCE GEORGE, VA 23875-1237
(804) 452-4546
(804) 452-4549

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101230654
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007104545
VA
01
C08332
MEDICARE GROUP NUMBER
Enumeration date
03/17/2006
Last updated
08/26/2015
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