Al-Dalli, Mohammed

Al-Dalli, Mohammed is an sole proprietor health care provider with primary practice located at 1749 Old Meadow Rd Ste 505 , Mc Lean VA 22102-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Al-Dalli, Mohammed can be contacted via phone (703) 356-2800.

Contact Information

Primary practice address
1749 Old Meadow Rd Ste 505 Mc Lean VA 22102-4325
Fax: (703) 356-3407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055859 Virginia

Profile Details

NPI number 1205960630
LBN Legal business name Al-Dalli, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205960630 NPPES
Virginia MEDICAID 5814669

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