Individual provider · NPI-1

Muhanad Al Jassar, MD

Internal Medicine · Virginia Beach, VA

NPI number1790783884
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1790783884
Entity type
Individual (NPI-1)
Name
Muhanad Al Jassar
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2005
Certification date
Jan 13, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0101237709VAYes

Practice location

5486 Indian River Rd
Virginia Beach, VA 23464-5365

Phone 757-424-2490

Mailing address

Po Box 7068
Portsmouth, VA 23707-0068

Phone 757-967-8622 · Fax 757-686-0541

Other practice locations

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Phone 757-967-8622 · Fax 757-686-0541

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Virginia Beach, VA