Individual
LAITH OSAMA AHMAD QASARWEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DRIVE, GME SUITE, 4TH FLOOR, ABINGDON, VA 24211
(276) 258-1000
Mailing address
225 LAUREN DRIVE, APT 17, ABINGDON, VA 24210
(276) 274-4307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116039011
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2024
Last updated
11/08/2024
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