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Individual

IJAZ RYAN RAFIQ MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8229
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102210013
VA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
VA

Other

Enumeration date
03/28/2023
Last updated
04/21/2026
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