| Organization Name: | EDNAN MUSHTAQ MD PC |
| NPI Number: | 1124211487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDNAN MUSHTAQ (PHYSICIAN) |
| Mailing Address: | 6845 Elm St Suite 303 Mc Lean |
| State: | VA US |
| Postal Code: | 221016007 |
| Phone Number: | 7034480005 |
| Fax Number: | 7034480808 |
| NPI Enumeration Date: | 08/21/2007 |
| NPI Last Update Date: | 08/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 0101055447 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |