Individual
MUKARRAM RAZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1999 S MAIN ST STE 405, BLACKSBURG, VA 24060-6601
(540) 930-0539
(540) 317-3164
Mailing address
1999 S MAIN ST STE 405, BLACKSBURG, VA 24060-6601
(540) 930-0539
(540) 317-3164
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0102205207
VA
207Q00000X
Family Medicine Physician
Primary
0102205207
VA
Other
Enumeration date
04/12/2015
Last updated
06/26/2023
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