Individual
ALI K MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 SKIPWITH RD, HENRICO DOCTORS HOSPITAL FOREST CAMPUS, RICHMOND, VA 23229-5205
(804) 289-4951
(804) 289-5623
Mailing address
4050 INNSLAKE DRIVE, SUITE 308, GLEN ALLEN, VA 23060
(804) 521-5315
(804) 521-5312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242549
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871772756
—
VA
01
—
2760675
CIGNA
VA
01
—
302011
ANTHEM
VA
01
—
691490
SOUTHERN HEALTH
VA
01
—
9030061
AETNA
VA
01
—
P00601112
MEDICARE RAILROAD
VA
Enumeration date
10/29/2007
Last updated
09/23/2009
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