Rufaat Mando
Internal Medicine, Gastroenterology in Alexandria, VA. Individual provider (NPI-1).
NPI number1205242591
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1205242591
- Entity type
- Individual (NPI-1)
- Name
- Rufaat Mando
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2014
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 0101281801 | VA | Yes |
| 207R00000X | Internal Medicine | 125.064994 | IL | |
| 207RG0100X | Internal Medicine, Gastroenterology | 71844 | TN |
Practice location
6354 Walker Ln Ste 400Alexandria, VA 22310-3252
Phone 571-472-7320 · Fax 571-472-7321
Mailing address
1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192
Phone 423-302-6565
Other practice locations
701 N 1st St
Springfield, IL 62702-3757
Springfield, IL 62702-3757
Phone 217-545-0182 · Fax 217-545-4735
130 W Ravine Rd
Kingsport, TN 37660-3837
Kingsport, TN 37660-3837
Phone 423-224-4000
1 Medical Park Blvd
Bristol, TN 37620-7430
Bristol, TN 37620-7430
Phone 423-844-1121
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