Individual
MOHAMMED ASHIQ MANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237447
VA
208M00000X
Hospitalist Physician
0101237447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
GREAT VALLEY HEALTH
PA
Enumeration date
11/02/2005
Last updated
10/17/2022
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