Individual provider · NPI-1

Mohammed Al-Kadiri, MD

Clinic/Center, Urgent Care · Vienna, VA

NPI number1922040278

StatusActive

Last updated in NPPESNov 27, 2023

Details

NPI: 1922040278
Entity type: Individual (NPI-1)
Name: Mohammed Al-Kadiri
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 12, 2006
Last updated: Nov 27, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QU0200X	Clinic/Center, Urgent Care	0101241399	VA	Yes
207P00000X	Emergency Medicine	036-098581	IL
261QP2300X	Clinic/Center, Primary Care	0101241399	VA

Practice location

305 Maple Avenue West
Suite A
Vienna, VA 22180

Phone 571-407-7004

Mailing address

305 Maple Avenue West
Suite A
Vienna, VA 22180

Phone 571-407-7004

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