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Individual

RASMIYAH MAJDY JASTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
613 CAMPUS DR, SUITE 200, ABINGDON, VA 24210
(276) 628-1186
(276) 628-8507
Mailing address
613 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9703
(276) 628-1186
(276) 628-8507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101251591
VA
207Q00000X
Family Medicine Physician
46373
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1520781
TN
05
1740474527
VA
01
431560263
TRICARE WEST
01
P00735774
RAILROAD MEDICARE
Enumeration date
09/05/2007
Last updated
06/04/2018
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