Individual
MOHAMMAD OMAR MALIKASGHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Mailing address
2701 NEABSCO COMMON PL APT 314, WOODBRIDGE, VA 22191-6706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18-506
VA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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