Alam, Bushra
Alam, Bushra is an sole proprietor health care provider with primary practice located at 19441 Golf Vista Plaza Suite 310 & 230 , Leesburg VA 20176-8272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Alam, Bushra can be contacted via phone (703) 729-3420.Contact Information
Primary practice address
19441 Golf Vista Plaza Suite 310 & 230
Leesburg VA 20176-8272
Phone: (703) 729-3420
Fax: (703) 729-3422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110007335 | Virginia |
Profile Details
| NPI number | 1144864364 |
|---|---|
| LBN Legal business name | Alam, Bushra |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2019 |
| Last updated | Nov 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144864364 | NPPES |
| Virginia | MEDICAID | 1144864364 |
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