Ednan Mushtaq MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101055447 Issued in VA

Legal business name

EDNAN MUSHTAQ MD PC

Practice address

6845 Elm St
Suite 303
MC Lean, VA 22101-6007

Phone

(703) 448-0005

Fax

(703) 448-0808

NPI assigned

Aug 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ednan Mushtaq, M.D.

Title

Physician

Phone

(703) 448-0005

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heath Franklin Dreyfuss, M.D.

  • Otolaryngology Physician
  • MC Lean, VA
  • NPI 1205001898
  NPD (past)
• Kelly Louise Wooten-Pilson, M.ED, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Winchester, VA
  • NPI 1427252782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1124211487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 303",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-448-0005",
            "fax_number": "703-448-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 303",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-448-0005",
            "fax_number": "703-448-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNAN MUSHTAQ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "MUSHTAQ",
        "authorized_official_first_name": "EDNAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-448-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101055447",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "0101055447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006503535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Eason
• Eastern Roots Wellness, PL C
• Angeline Virginia Eaton, BCBA, M. ED.
• Jordan Eaton, SLP
• Jessica Echeverry, LPC
• Roma Edoo-Sowah, MD
• Edward G. Koch, M.D., P.C.
• Elizabeth Edwards, P.T
• Ngozika Chinoenye Ifeoma Egbuonu, M.A., M.S.
• Joanna Litvak Ehat, LCSW

• Otolaryngology Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.