Individual
DR. DOUMIT S. BOUHAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-8504
(804) 828-5304
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1745
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101055097
VA
207RG0100X
Gastroenterology Physician
Primary
0101055097
VA
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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