Individual
DR. TAREK ABOU-GHAZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12330 PINECREST RD STE 125, RESTON, VA 20191-1655
(703) 822-5250
(571) 252-5595
Mailing address
12330 PINECREST RD STE 125, RESTON, VA 20191-1655
(703) 822-5250
(571) 252-5595
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101237500
VA
207RC0000X
Cardiovascular Disease Physician
D0059691
MD
Other
Enumeration date
11/02/2005
Last updated
10/27/2023
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