Organization
NEURO CARE OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBASHIR A KHAN MD (PRESIDENT)
(804) 452-4546
Entity
Organization
Contact information
Practice address
4720 PUDDLEDOCK RD, SUITE 100, PRINCE GEORGE, VA 23875-1237
(804) 452-4546
(804) 452-4549
Mailing address
4720 PUDDLEDOCK RD, SUITE 100, PRINCE GEORGE, VA 23875-1237
(804) 452-4546
(804) 452-4549
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023087368
DR. KHAN NPI
VA
01
—
1710154786
DR. BU NPI
VA
01
—
C08332
MEDICARE GROUP NUMBER
—
Enumeration date
03/21/2006
Last updated
08/26/2015
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