Organization
MAARIJ INC
Active
Other names
Sunnyview Neurology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ISHTIAQ AHMAD M.D. (CEO)
(703) 348-7207
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 320, RESTON, VA 20190-5896
(703) 348-7207
(703) 435-1844
Mailing address
1860 TOWN CENTER DR, SUITE 320, RESTON, VA 20190-5896
(703) 348-7207
(703) 435-1844
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101230245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010358906
—
VA
01
—
248660
BC/BS OF VA
VA
Enumeration date
06/02/2006
Last updated
09/29/2011
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