Individual
MR. MOHAMAD EL-MASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2336
(804) 764-1253
(804) 764-1259
Mailing address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2336
(804) 764-1253
(804) 764-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236760
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198607
—
VA
01
—
C06115
GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
01
—
C07050
GROUP PTAN
VA
Enumeration date
11/02/2005
Last updated
06/11/2012
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