Individual
MICHAEL MOGADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4660 KENMORE AVE, SUITE 1206, ALEXANDRIA, VA 22304
(703) 370-1400
(703) 370-9742
Mailing address
4660 KENMORE AVE, SUITE 1206, ALEXANDRIA, VA 22304
(703) 370-1400
(703) 370-9742
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101020264
VA
Other
Enumeration date
09/07/2006
Last updated
07/18/2008
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