Individual
MR. MOHAMMAD R KOMAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9590
(703) 273-6574
Mailing address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9590
(703) 273-6574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01625C01
MEDICARE ID
DC
Enumeration date
10/18/2006
Last updated
05/29/2009
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