Individual
MR. MUSHTAQ AHMAD AWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7115 LEESBURG PIKE, SUITE # 315, FALLS CHURCH, VA 22043-2367
(703) 522-8840
Mailing address
7115 LEESBURG PIKE, SUITE # 315, FALLS CHURCH, VA 22043-2367
(703) 522-8840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101040126
VA
208D00000X
General Practice Physician
Primary
0101040126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007301006
—
VA
Enumeration date
10/31/2006
Last updated
01/21/2010
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