Organization
MAZEN MADHOUN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN MADHOUN MD (OWNER)
(540) 397-5319
Entity
Organization
Contact information
Practice address
6002 WINNBROOK LN, ROANOKE, VA 24018-7907
(540) 397-5319
(540) 947-3142
Mailing address
6002 WINNBROOK LN, ROANOKE, VA 24018-7907
(540) 397-5319
(540) 947-3142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101247995
VA
Other
Enumeration date
12/06/2013
Last updated
03/06/2023
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