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Individual

ABDUL Q MOHIUDDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1012 WINSTON CHURCHILL DR, HOPEWELL, VA 23860-5141
(804) 458-8583
(804) 541-2724
Mailing address
1012 WINSTON CHURCHILL DR, HOPEWELL, VA 23860-5141
(804) 458-8583
(804) 541-2724

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101222992
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005643074
VA
01
C02208
MEDICARE GROUP NUMBER
Enumeration date
03/16/2006
Last updated
02/18/2014
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