Individual
SYED N ISHAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41350 SPRINGFIELD LN, LEESBURG, VA 20175-8743
(703) 973-5790
(703) 620-6628
Mailing address
41350 SPRINGFIELD LN, LEESBURG, VA 20175-8743
(703) 973-5790
(703) 620-6628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101058320
VA
207R00000X
Internal Medicine Physician
Primary
0101058320
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005859671
—
VA
Enumeration date
07/09/2006
Last updated
05/02/2024
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