Individual
BILAL ABO ALMAKARIM KANAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 CAMPUS DR STE 2, ABINGDON, VA 24210-9703
(276) 628-1186
(276) 628-8507
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116040110
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2016
Last updated
11/05/2024
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