Individual
BUSHRA ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19441 GOLF VISTA PLAZA SUITE 310 & 230, LEESBURG, VA 20176-8272
(703) 729-3420
(703) 729-3422
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(571) 291-9786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144864364
—
VA
Enumeration date
10/31/2019
Last updated
11/29/2022
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