Dr MUSHTAQ AHMAD AWAN is a male medical professional, specializing in General Practice. He graduated in 1969.
7115 LEESBURG PIKE
SUITE 315
FALLS CHURCH
VA
220432301
Tel: 7035228841
| Npi | 1275619363 |
| Pac Id | 2264565936 |
| Professional Enrollment Id | I20100802000300 |
| Last Name | AWAN |
| First Name | MUSHTAQ |
| Middle Name | AHMAD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1969 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 7115 LEESBURG PIKE |
| Line 2 Street Address | SUITE 315 |
| Marker Of Address Line 2 Suppression | |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 220432301 |
| Phone Number | 7035228841 |
| Hospital Affiliation Ccn 1 | 490050 |
| Hospital Affiliation Lbn 1 | VIRGINIA HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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