Organization
MICHAEL MOGADAM, M.D., INC.
Active
Organization
MICHAEL MOGADAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MOGADAM (PRESIDENT)
(703) 370-1400
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE #1206, ALEXANDRIA, VA 22304-1313
(703) 370-1400
(703) 370-9742
Mailing address
4660 KENMORE AVE, SUITE #1206, ALEXANDRIA, VA 22304-1313
(703) 370-1400
(703) 370-9742
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101020264
VA
Other
Enumeration date
08/13/2007
Last updated
03/07/2023
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