Al-Kadiri, Mohammed

Al-Kadiri, Mohammed is an sole proprietor health care provider with primary practice located at 305 Maple Avenue West Suite A, Vienna VA 22180. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Al-Kadiri, Mohammed can be contacted via phone (571) 407-7004.

Contact Information

Primary practice address
305 Maple Avenue West Suite A Vienna VA 22180
Phone: (571) 407-7004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-098581 Illinois
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101241399 Virginia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0101241399 Virginia

Profile Details

NPI number 1922040278
LBN Legal business name Al-Kadiri, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922040278 NPPES
Illinois MEDICAID 036098581
Illinois Other 06032182
Illinois Other 08232205
Illinois Other P00350409
Illinois Other 08232204

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