Individual
DR. MOHAMMED ELKOUSY
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
D0058640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010241871
—
VA
05
—
512008000
—
MD
Enumeration date
07/03/2006
Last updated
05/07/2015
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