Individual
DR. AHMED HEGAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3028 JAVIER RD STE 500, FAIRFAX, VA 22031-4622
(703) 698-8960
(571) 494-5794
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 308, FAIRFAX, VA 22033-1744
(703) 698-8960
(703) 716-8703
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101222258
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238501
ANTHEM BCBS
—
01
—
238504
ANTHEM BCBS
—
01
—
246703
ANTHEM BCBS
—
01
—
302437
ANTHEM BCBS
—
05
—
5883890
—
VA
01
—
79160019
CAREFIRST BCBS
—
Enumeration date
07/18/2006
Last updated
05/07/2019
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