Individual
IBTESAM GOUHAR ZAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 446-5955
Mailing address
4253 LLEWELLYN AVE APT 203, NORFOLK, VA 23504-1142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208732
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116037916
VA
Other
Enumeration date
04/26/2022
Last updated
08/22/2024
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