Individual
DR. JASON MOHAN BHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46165 WESTLAKE DR, SUITE 120, STERLING, VA 20165
(703) 444-3302
(703) 444-3240
Mailing address
25 BROAD ST APT 6I, NEW YORK, NY 10004-2520
(703) 945-2033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232952
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005647142
—
VA
Enumeration date
06/16/2005
Last updated
07/30/2018
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