Individual
MR. JAMAL UD DIN KHATTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6569 EDSALL RD, SPRINGFIELD, VA 22151-4414
(571) 222-5829
(571) 351-6081
Mailing address
6569 EDSALL RD, SPRINGFIELD, VA 22151-4414
(571) 222-5829
(571) 351-6081
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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