Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 59895 | DC |
N | 2084N0402X | Child Neurologist | 59895 | DC |
NPI | 1154689255 |
---|---|
Provider Name | Dr. Mohammad Abu-Rub |
First Address | Washington, DC 20037-3201 |
Second Address | Washington, DC 20037-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 20/07/2017 |