Individual
MOHAMMAD AL KASABREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
(804) 828-5775
Mailing address
GME ADMIN, 1200 EAST BROAD STREET, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0116039587
VA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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