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Individual

DR. ABDULLAH AL FAROOQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8609 SUDLEY RD, SUITE 105, MANASSAS, VA 20110-4500
(703) 393-8883
(703) 686-4240
Mailing address
PO BOX 27, STERLING, VA 20167-0027
(703) 393-8883
(703) 686-4240

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101227765
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005867568
VA
Enumeration date
05/28/2006
Last updated
02/03/2020
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