Organization
TWIN RIVER MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL WK DURRANI MD (PRESIDENT)
(804) 458-8583
Entity
Organization
Contact information
Practice address
1012 WINSTON CHURCHILL DR, HOPEWELL, VA 23860-5141
(804) 458-8583
(804) 541-2724
Mailing address
1012 WINSTON CHURCHILL DR, HOPEWELL, VA 23860-5141
(804) 458-8583
(804) 541-2724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5500
MEDICARE RR
VA
Enumeration date
03/21/2006
Last updated
02/19/2014
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