Individual
DR. MOHAMED MATTAR ABOUHASIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, MCGUIRE VAMC/ PRIMARY CARE, RICHMOND, VA 23249-0001
(804) 675-5680
(804) 675-5029
Mailing address
13612 HETH DR, MIDLOTHIAN, VA 23114-5533
(804) 675-5680
(804) 675-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235180
VA
207R00000X
Internal Medicine Physician
A 83213
CA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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