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Individual

AMOL RAIZADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1031 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-2981
(757) 736-9860
(757) 240-5537
Mailing address
1031 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-2981
(757) 736-9860
(757) 240-5537

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT183305
PA
207RC0000X
Cardiovascular Disease Physician
0101262595
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101262595
VA

Other

Enumeration date
05/21/2007
Last updated
10/09/2020
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