Individual
DR. ABDULLAH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRACE ST, HERNDON, VA 20170-3740
(571) 243-4555
Mailing address
600 GRACE ST, HERNDON, VA 20170-3740
(571) 243-4555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101234403
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010071143
—
VA
01
—
173386
ANTHEM
—
Enumeration date
01/12/2006
Last updated
01/28/2013
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