Individual
DR. KHADIJAH YASIN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MEDICAL PKWY, SUITE 202, CHESAPEAKE, VA 23320-0302
(757) 436-2424
(757) 436-6628
Mailing address
111 MEDICAL PKWY, SUITE 202, CHESAPEAKE, VA 23320-0302
(757) 436-2424
(757) 436-6628
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101052592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10202531
—
VA
Enumeration date
04/14/2006
Last updated
09/08/2009
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