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Individual

AHMAD PAIGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1778 MOULTRIE TER NE, LEESBURG, VA 20176-6573
(703) 814-5700
Mailing address
1778 MOULTRIE TER NE, LEESBURG, VA 20176-6573
(703) 814-5700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171R00000X
Interpreter
Primary
171W00000X
Contractor
173F00000X
Sleep Specialist (PhD)
335G00000X
Medical Foods Supplier
347C00000X
Private Vehicle
374700000X
Technician

Other

Enumeration date
05/16/2025
Last updated
05/21/2025
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