Individual
MUBARIK KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030-0985
(703) 620-6221
(703) 620-6628
Mailing address
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030-0985
(703) 620-6221
(703) 620-6628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101059082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005838339
—
VA
Enumeration date
07/20/2006
Last updated
02/21/2013
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