Qudsia Iqbal Malik, MD | |
19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 | |
(703) 858-9192 | |
(703) 858-9442 |
Full Name | Qudsia Iqbal Malik |
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Gender | Female |
Speciality | Family Medicine |
Location | 19450 Deerfield Ave, Lansdowne, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871601138 | NPI | - | NPPES |
010133688 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101232381 (Virginia) | Primary |
Entity Name | Inova Physician Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846 |
Mailing Address | Practice Location Address |
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Qudsia Iqbal Malik, MD 19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 Ph: (703) 858-9192 | Qudsia Iqbal Malik, MD 19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 Ph: (703) 858-9192 |
Dr. Olufunmilola Modupe Ogbonlowo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 19465 Deerfield Ave Ste 309, Lansdowne, VA 20176 Phone: 571-293-2424 Fax: 972-947-5370 | |
Ronald Axel Larsen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18767 Thomas Lee Way, Lansdowne, VA 20176 Phone: 571-333-2270 | |
Paulos Dereje Abebe, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 301, Lansdowne, VA 20176 Phone: 571-367-0000 |