Basic Information
| Provider Information | |||||||||
| NPI: | 1316919954 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUGHAL | ||||||||
| FirstName: | NAVEED | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 COX RD | ||||||||
| Address2: | |||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230609263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048224355 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21044 FREDERICK RD | ||||||||
| Address2: | |||||||||
| City: | GERMANTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208764132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2402385432 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2006 | ||||||||
| LastUpdateDate: | 04/26/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | K9622 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | K9622 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | K9622 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | MD472766 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | D0093739 | MD | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 0089GK | 01 | TX | BCBS | OTHER | 029446401 | 05 | TX | MEDICAID |