Organization
INFECTIOUS DISEASE ASSOCIATES OF AMERICA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSOOR A KHAN MD (PRESIDENT)
(804) 704-2344
Entity
Organization
Contact information
Practice address
501 N 6TH AVE, HOPEWELL, VA 23860-2618
(804) 704-2344
(804) 452-4549
Mailing address
501 N 6TH AVE, HOPEWELL, VA 23860-2618
(804) 704-2344
(804) 452-4549
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679542914
PHYSICIAN NPI
VA
Enumeration date
03/21/2006
Last updated
08/03/2012
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