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Contact Information

SYED K MAHBOOB, MD
4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE, VA22192-8322
 Phone: 703-680-7950
 Fax: 703-680-7953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SYED K MAHBOOB · (Male)

NPI # 1770760944
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2008
Last updated 01/27/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D70693
  • TX License # V2156
  • VA License # 0101241509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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