Individual
IZZA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
Mailing address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0116039719
VA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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