Individual
ISHRAQ KHAN KABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 610, NORFOLK, VA 23507-1914
(757) 446-8950
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101274379
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/23/2016
Last updated
06/23/2022
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