Organization
SYEDA KUTUB, PC
Active
Other names
Dr. Syeda Kutub Eyecare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYEDA KUTUB O.D. (OPTOMETRIST)
(703) 914-2144
Entity
Organization
Contact information
Practice address
5901 DUKE ST, ALEXANDRIA, VA 22304-3211
(703) 914-2144
(703) 354-4124
Mailing address
5901 DUKE ST, ALEXANDRIA, VA 22304-3211
(703) 914-2144
(703) 354-4124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433474
MEDICARE PTAN
VA
Enumeration date
05/12/2015
Last updated
06/27/2016
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