Individual
HUMZA KIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5405 WILLIAMSPORT PIKE, MARTINSBURG, WV 25404-6495
(304) 263-4000
(304) 263-4004
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2076-IOD
WV
152W00000X
Optometrist
Primary
TA2785
MD
Other
Enumeration date
03/24/2020
Last updated
11/03/2023
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