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Individual

DR. JELAL ALSUBAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
(703) 664-7666
Mailing address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
(703) 664-7666

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101258152
VA
207R00000X
Internal Medicine Physician
MD449268
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102840389
PA
01
2899305
HIGHMARK BLUE SHIELD
PA
01
30161126
AMERIHEALTH CARITAS PA - THFP
PA
01
30161128
AMERIHEALTH CARITAS PA - WMG
PA
01
420280
UPMC
PA
Enumeration date
06/30/2010
Last updated
04/03/2021
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