Organization
TRI-CITIES GERIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD FAROOQ M.D. (PRESIDENT)
(804) 721-9148
Entity
Organization
Contact information
Practice address
1714 E HUNDRED RD, SUITE 101, CHESTER, VA 23836-3310
(804) 721-9148
(804) 530-5295
Mailing address
1714 E HUNDRED RD, SUITE 101, CHESTER, VA 23836-3310
(804) 721-9148
(804) 530-5295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055927
VA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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