Individual
DR. MOHAMMAD ASHFAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14130 NOBLEWOOD PLZ, UNIT 105, WOODBRIDGE, VA 22193-1464
(703) 878-2020
(703) 878-2020
Mailing address
14599 CHARITY CT, WOODBRIDGE, VA 22193-1200
(703) 878-2020
(703) 878-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001741
VA
152W00000X
Optometrist
TA2098
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396992145
—
VA
01
—
363066
ANTHEM BCBS
VA
Enumeration date
08/23/2008
Last updated
10/16/2013
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