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Individual

DR. BASIL MAGHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1850 TOWN CENTER PKWY, SUITE 258, RESTON, VA 20190-3219
(703) 435-1454
(703) 435-8630
Mailing address
1850 TOWN CENTER PKWY, SUITE 258, RESTON, VA 20190-3219
(703) 435-1454
(703) 435-8630

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D004408
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234401700
MD
Enumeration date
07/03/2006
Last updated
05/04/2015
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