Individual
DR. GULAM MUSTAFA YOUNOSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5212 DAWES AVE, ALEXANDRIA, VA 22311
(703) 578-6881
(703) 379-6563
Mailing address
5212 DAWES AVE, ALEXANDRIA, VA 22311
(703) 578-6881
(703) 379-6563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054643
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6703313
—
VA
Enumeration date
06/23/2006
Last updated
07/08/2007
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