Individual
WALEED A. EISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1712 AMHERST ST, WINCHESTER, VA 22601-2807
(540) 667-1712
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101264470
VA
208800000X
Urology Physician
30393
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295078988
—
VA
Enumeration date
04/01/2013
Last updated
04/30/2024
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