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Individual

MUSSARAT TAHIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
611 S CARLIN SPRINGS RD, SUITE # 514, ARLINGTON, VA 22204-1064
(703) 671-5200
(703) 671-5255
Mailing address
6593 IRVIN CT, ALEXANDRIA, VA 22312-2235
(703) 658-2132

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053755
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005820936
VA
Enumeration date
10/14/2006
Last updated
04/28/2025
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