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Individual

MOHAMED MARDINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5688
(703) 335-8750
Mailing address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5688
(703) 331-0300
(703) 331-0254

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101023633
VA
2080P0202X
Pediatric Cardiology Physician
D0015898
MD

Other

Enumeration date
01/04/2006
Last updated
10/24/2007
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