Individual
TAZUDDIN AZMI MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, PEDIATRICS/NEONATOLOGY, RICHMOND, VA 23298-5051
(804) 828-9964
(804) 828-6662
Mailing address
PO BOX 91734, RICHMOND, VA 23291-9734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101247146
VA
Other
Enumeration date
05/25/2010
Last updated
07/15/2013
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