Individual
DR. NIZAR MOHAMED HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 OPITZ BLVD, WOODBRIDGE, VA 22191-3306
(703) 494-4116
(703) 497-0051
Mailing address
2000 OPITZ BLVD, WOODBRIDGE, VA 22191-3306
(703) 499-9144
(703) 497-0051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101225617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102215188
—
VA
Enumeration date
10/24/2005
Last updated
10/03/2007
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