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General NPI Number Information
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NPI Number | 1205464047
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Entity Type | Individual
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Provider Name | AHMAD NAVEED MAHMOODI MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-8556
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Fax | 202-444-8854
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Provider Business Mailing Address
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Address Line | 14340 COMPTON VILLAGE DR
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City | CENTREVILLE
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State | VA
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Zip | 20121-5700
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Country | US
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Telephone | 703-362-4244
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 333209
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101283696
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License Number State | VA
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