Individual
DR. MOHAMMED AL-DALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1749 OLD MEADOW RD STE 505, MC LEAN, VA 22102-4325
(703) 356-2800
(703) 356-3407
Mailing address
1749 OLD MEADOW RD STE 505, MC LEAN, VA 22102-4325
(703) 356-2800
(703) 356-3407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5814669
—
VA
Enumeration date
03/15/2007
Last updated
07/01/2021
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