Individual
ATAHARUL H MANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2671B AVENIR PL, VIENNA, VA 22180-7176
(703) 207-8600
(703) 207-9224
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102207263
VA
Other
Enumeration date
03/30/2019
Last updated
01/04/2023
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