Individual
MOSTAFA GAMAL HUSSIEN AB ELRAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2225
Mailing address
1140 PREMIER KEY DR, CARY, NC 27513-5372
(502) 389-8568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101284055
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
10/06/2025
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