Healthcare Provider Details

I. General information

NPI: 1811818669
Provider Name (Legal Business Name): AHMED E. E. F. HAROUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 JOHNSTON MEMORIAL DR
ABINGDON VA
24211-7659
US

IV. Provider business mailing address

16000 JOHNSTON MEMORIAL DR FL 4
ABINGDON VA
24211-7664
US

V. Phone/Fax

Practice location:
  • Phone: 276-258-2000
  • Fax: 276-258-4445
Mailing address:
  • Phone: 276-258-2000
  • Fax: 276-258-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0116041799
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: