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Individual

FARIAH ISHRAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
850 ENTERPRISE PKWY STE 2000, HAMPTON, VA 23666-6252
(757) 838-4500
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007656
VA
363A00000X
Physician Assistant

Other

Enumeration date
02/04/2020
Last updated
05/17/2022
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