Individual
DR. REDOUANE GOULMAMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8139 LEE DAVIS RD, MECHANICSVILLE, VA 23111-7001
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101242555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285636894
—
VA
01
—
345128
ANTHEM
VA
01
—
3639781
CIGNA
VA
01
—
7047613
AETNA
VA
Enumeration date
08/12/2005
Last updated
11/25/2025
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