| Michael Mogadam, M.d., Inc. | |
|
4660 Kenmore Ave Suite #1206 Alexandria VA 22304-1313 | |
| (703) 370-1400 | |
| (703) 370-9742 |
| Full Name | Michael Mogadam, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4660 Kenmore Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Michael Mogadam (PRESIDENT) |
| Authorized Official Contact | 7033701400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mogadam, M.d., Inc. 4660 Kenmore Ave Suite #1206 Alexandria VA 22304-1313 Ph: (703) 370-1400 | Michael Mogadam, M.d., Inc. 4660 Kenmore Ave Suite #1206 Alexandria VA 22304-1313 Ph: (703) 370-1400 |
| NPI Number | 1407048507 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407048507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101020264 (Virginia) | Primary |
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