Provider Demographics
NPI:1073263489
Name:AHMAD, MUBASHRA (MBBS)
Entity Type:Individual
Prefix:
First Name:MUBASHRA
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 WOODMERE DR APT 101
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-4338
Mailing Address - Country:US
Mailing Address - Phone:240-386-9002
Mailing Address - Fax:
Practice Address - Street 1:5108 WOODMERE DR APT 101
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-4338
Practice Address - Country:US
Practice Address - Phone:240-386-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program