Individual
SYED KHURRAM MAHBOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4379 RIDGEWOOD CENTER DR, SUITE 102, WOODBRIDGE, VA 22192-8322
(703) 680-7950
(703) 680-7953
Mailing address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241509
VA
207Q00000X
Family Medicine Physician
V2156
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D70693
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
V2156
TX
Other
Enumeration date
01/29/2008
Last updated
01/27/2025
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