Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ahmad Mutawak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124871843

Ahmad Mutawak is a Student in an Organized Health Care Education/Training Program in Arlington, Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613
Phone: (703) 292-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124871843
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2024
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing address3034 Covington St, Fairfax, VA 22031-2040

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