Individual
RUFAAT MANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6354 WALKER LN STE 400, ALEXANDRIA, VA 22310-3252
(571) 472-7320
(571) 472-7321
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.064994
IL
207RG0100X
Gastroenterology Physician
Primary
0101281801
VA
207RG0100X
Gastroenterology Physician
71844
TN
Other
Enumeration date
07/07/2014
Last updated
08/09/2024
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