Individual
JAWAHAR KHAN DURRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 967-8622
Mailing address
3021 GATEWAY DR APT 102, SUFFOLK, VA 23435-1151
(570) 904-9153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281320
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2021
Last updated
07/17/2024
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