EDNAN MUSHTAQ MD PC (NPI# 1124211487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124211487 |
| Entity Type | Organization |
| Organization Name | EDNAN MUSHTAQ MD PC |
| Practice Address |
6845 Elm St Suite 303 Mc Lean VA 22101-6007 |
| Practice Telephone | 7034480005 |
| Practice Fax Number | 7034480808 |
| Mailing Telephone | 7034480005 |
| Mailing Fax Number | 7034480808 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | DR. EDNAN MUSHTAQ (PHYSICIAN) |
| Authorized Official Telephone | 7034480005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0101055447 | VA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 0101055447 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006503535 | 05 |
| Street Address |
6845 ELM ST SUITE 303 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758098 | Richard Lee Roth | Psychiatry & Neurology | 6845 Elm St, Ste 210, Mc Lean, VA 22101-3822 | 2005-05-27 |
| 1467901702 | Danielle May | Physician Assistant | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2016-09-28 |
| 1699113159 | Sooyeon Caritas Ahn | Dentist | 6845 Elm St, Suite 450, Mc Lean, VA 22101-6007 | 2013-06-06 |
| 1821330002 | M. Renee Jespersen, Md PC | Plastic Surgery | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2013-03-26 |
| 1992069918 | Eun Young Lee | Dentist | 6845 Elm St, Mc Lean, VA 22101-6007 | 2012-06-25 |
| 1023314333 | Sok Woong Daniel Han | Dentist | 6845 Elm St, 450, Mc Lean, VA 22101-6007 | 2011-02-03 |
| 1740590405 | Integrative Oral & Facial Surgery LLC | Dentist | 6845 Elm St, Suite 305, Mc Lean, VA 22101-6007 | 2010-10-15 |
| 1891938783 | Pinky Khatri | Audiologist | 6845 Elm St, Suite 303, Mc Lean, VA 22101-6007 | 2009-04-08 |
| 1932352838 | David E. Hiatt Phd Md PC | Clinic/Center | 6845 Elm St, Suite 400, Mc Lean, VA 22101-6007 | 2008-10-23 |
| 1780832949 | Kathleen D. Solomon | Specialist | 6845 Elm St, 600, Mc Lean, VA 22101-6007 | 2008-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
| 1205001898 | Heath Franklin Dreyfuss | Otolaryngology | 6845 Elm St, Suite 303, Mc Lean, VA 22101-6007 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
| 1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
| 1134564073 | Ear, Nose, Throat & Allergy Consultants, PC | Otolaryngology | 26208 Lee Highway, Abingdon, VA 24211-7504 | 2013-05-06 |
| 1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
| 1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| 1538462189 | Jon Bruce Hagadorn | Otolaryngology | 3136 W Club Dr, Salem, VA 24153-6823 | 2010-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.