Individual
DR. MANNUL WAHAB MUHIUDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13893 REMBRANDT WAY, CHANTILLY, VA 20151-3265
(703) 403-0460
(703) 490-7650
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055858
VA
207R00000X
Internal Medicine Physician
D0072076
MD
207R00000X
Internal Medicine Physician
MD039289
DC
Other
Enumeration date
11/14/2006
Last updated
05/27/2021
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