Individual
QUDSIA IQBAL MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19450 DEERFIELD AVE, SUITE 150, LANSDOWNE, VA 20176-6820
(703) 858-9192
(703) 858-9442
Mailing address
19450 DEERFIELD AVE, SUITE 150, LANSDOWNE, VA 20176-6820
(703) 858-9192
(703) 858-9442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232381
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133688
—
VA
Enumeration date
08/28/2006
Last updated
07/08/2007
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