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Individual

DR. MOHAMMAD RASSOOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
665 NEWTOWN RD STE 114, VIRGINIA BEACH, VA 23462-1683
(757) 490-1226
(757) 473-3822
Mailing address
665 NEWTOWN RD, SUITE 114, VIRGINIA BEACH, VA 23462-1683
(757) 490-1226
(757) 473-3822

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038190
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006080251
VA
01
187542
ANTHEM BCBS
VA
01
32014
OPTIMA
VA
Enumeration date
11/16/2006
Last updated
07/05/2011
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