Organization
DOMINION CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM A FARUQI MD (PRESIDENT)
(804) 520-1080
Entity
Organization
Contact information
Practice address
2563 S CRATER RD, PETERSBURG, VA 23805-2407
(804) 520-1080
(804) 520-1906
Mailing address
2563 S CRATER RD, PETERSBURG, VA 23805-2407
(804) 520-1080
(804) 520-1906
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101246823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205886900
—
VA
Enumeration date
08/04/2011
Last updated
12/07/2021
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