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Individual

MUHAMMAD S QUIDWAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
0101242831
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0803729M
OPTIMA/SENATARA
VA
01
346536
ANTHEM TRIGON
VA
01
415381
FEDERAL HEALTH NET/TRICARE
VA
01
600521688
MAGELLAN HEALTH
VA
Enumeration date
01/29/2008
Last updated
03/04/2015
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