| Qudsia Iqbal Malik, MD | |
|
19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 | |
| (703) 858-9192 | |
| (703) 858-9442 |
| Full Name | Qudsia Iqbal Malik |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 19450 Deerfield Ave, Lansdowne, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871601138 | NPI | - | NPPES |
| 010133688 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232381 (Virginia) | Primary |
| Entity Name | Inova Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Qudsia Iqbal Malik, MD 19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 Ph: (703) 858-9192 | Qudsia Iqbal Malik, MD 19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176-6820 Ph: (703) 858-9192 |
Dr. Olufunmilola Modupe Ogbonlowo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 19440 Golf Vista Plz Ste 120, Lansdowne, VA 20176 Phone: 571-293-2424 Fax: 833-913-2348 | |
Paulos Dereje Abebe, PA-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 19415 Deerfield Ave Ste 301, Lansdowne, VA 20176 Phone: 571-367-0000 |