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Individual

BESHIR MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR FL 4, ABINGDON, VA 24211-7664
(276) 258-1000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254120
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356662340
VA
01
P01325020
RR MEDICARE
VA
05
Q002624
TN
Enumeration date
06/14/2010
Last updated
11/30/2023
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