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Individual

EDNAN MUSHTAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6845 ELM STREET, SUITE 303, MCLEAN, VA 22101
(703) 448-0005
(703) 448-0808
Mailing address
6845 ELM STREET, SUITE 303, MCLEAN, VA 22101
(703) 448-0005
(703) 448-0808

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101055447
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0101055447
VA

Other

Enumeration date
05/10/2006
Last updated
08/21/2007
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