Individual
MOHAMED H. EL MAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14904 JEFFERSON DAVIS HWY #204, WOODBRIDGE, VA 20109
(703) 492-7771
(703) 492-4442
Mailing address
9755 THORN BUSH DR, FAIRFAX STATION, VA 22039-2540
(703) 492-7771
(703) 492-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101058502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005643937
—
VA
Enumeration date
05/12/2006
Last updated
08/28/2013
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