Ednan Mushtaq Md Pc

LBN: Ednan Mushtaq Md Pc
Ednan Mushtaq Md Pc is an health care organization with primary practice located at 6845 Elm St Suite 303, Mc Lean VA 22101-6007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Ednan Mushtaq Md Pc can be contacted via phone (703) 448-0005, or through Mushtaq, Ednan via phone (703) 448-0005.

Contact Information

Primary practice address
6845 Elm St Suite 303 Mc Lean VA 22101-6007
Phone: (703) 448-0005
Fax: (703) 448-0808
Website:
Map and Directions
Authorized official contact:
Name: Mushtaq, Ednan Doctor of Medicine (MD)
Phone: (703) 448-0005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101055447 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0101055447 Virginia

Profile Details

NPI number 1124211487
LBN Legal business name Ednan Mushtaq Md Pc
DBA Doing business as
Authorized official Mushtaq, Ednan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124211487 NPPES
Virginia MEDICAID 006503535

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