Provider Demographics
| NPI: | 1760826614 |
|---|---|
| Name: | MUSA, ABDULLAHI (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | ABDULLAHI |
| Middle Name: | |
| Last Name: | MUSA |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | ABDULLAHI |
| Other - Middle Name: | MOHAMAD MUKHTAR |
| Other - Last Name: | MUSA |
| Other - Suffix: | |
| Other - Last Name Type: | Other Name |
| Other - Credentials: | |
| Mailing Address - Street 1: | 220 CAMPUS BLVD STE 320 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WINCHESTER |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 22601-2889 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 540-536-5100 |
| Mailing Address - Fax: | 540-536-0235 |
| Practice Address - Street 1: | 1870 AMHERST ST STE 3D |
| Practice Address - Street 2: | |
| Practice Address - City: | WINCHESTER |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 22601-2873 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 540-536-5840 |
| Practice Address - Fax: | 540-536-5841 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2013-04-22 |
| Last Update Date: | 2025-04-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| VA | 0101260579 | 207RG0100X, 208M00000X |
| AR | E-16472 | 207R00000X, 207RG0100X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |