Dr. Mohamed Mattar Abouhasira, MD
Internal Medicine in Richmond, VA. Individual provider (NPI-1).
NPI number1275570681
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1275570681
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohamed Mattar Abouhasira
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0101235180 | VA | Yes |
| 207R00000X | Internal Medicine | A 83213 | CA |
Practice location
1201 Broad Rock BlvdMcguire Vamc/ Primary Care
Richmond, VA 23249-0001
Phone 804-675-5680 · Fax 804-675-5029
Mailing address
13612 Heth DrMidlothian, VA 23114-5533
Phone 804-675-5680 · Fax 804-675-5029
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