Individual
INTEKHAB ASKARI SYED AHMAD RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-5344
Mailing address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-5344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101274154
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
10/03/2022
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