Individual
EHAB TADROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24585 STONE CARVER DR STE 175, ALDIE, VA 20105-3255
(571) 367-3914
Mailing address
24585 STONE CARVER DR STE 175, ALDIE, VA 20105-3255
(571) 367-3914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
OWN ID
VA
Enumeration date
03/09/2021
Last updated
03/09/2021
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