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Individual

DR. NOWAL AL BAQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13135 LEE JACKSON MEMORIAL HWY, #135, FAIRFAX, VA 22033-1907
(703) 961-0488
(703) 961-0480
Mailing address
13135 LEE JACKSON MEM HWY, SUITE 135, FAIRFAX, VA 22033-1907
(703) 961-0484
(703) 961-9103

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101258454
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639432198
VA
Enumeration date
06/20/2012
Last updated
08/11/2016
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