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Individual

MOHAMMAD AYAN GHAIRATMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8464
(703) 369-8467
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-8464
(703) 369-8467

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101267671
VA
2084P0800X
Psychiatry Physician
D89868
MD
2084P0800X
Psychiatry Physician
MTL003899
DC

Other

Enumeration date
09/24/2012
Last updated
06/11/2021
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