Individual
ALI KHREISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-2161
(804) 827-1703
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101284912
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101284912
VA
207RP1001X
Pulmonary Disease Physician
0101284912
VA
Other
Enumeration date
07/20/2021
Last updated
06/27/2025
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