Individual
ABDUL LATIF AMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 W BROAD ST STE 300, RICHMOND, VA 23230-1710
(804) 320-4243
(804) 282-1487
Mailing address
1000 BOULDERS PKWY STE 102, NORTH CHESTERFIELD, VA 23225-5515
(804) 591-3134
(804) 282-1487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101236604
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101236604
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101236604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10130930
—
VA
05
—
1255315081
—
VA
01
—
139451
ANTHEM
VA
01
—
302011
ANTHEM BCBS
VA
01
—
P00136200
MEDICARE RR
VA
01
—
P00601104
MEDICARE RAILROAD
VA
Enumeration date
12/05/2005
Last updated
07/07/2025
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