| NPI | 1912078619 |
|---|---|
| Doing Business As | CCMA |
| Entity Type | Organization |
| Authorized Contact | MALAK K ISAAC Medical Doctor /Sole Owner 703-825-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101-049277) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101237688) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101-049277) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-09-04 |