Individual
HISHAM TAHA KHUDAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 HILLIARD RD APT D, HENRICO, VA 23228-4461
(804) 502-6885
Mailing address
2825 HILLIARD RD APT D, HENRICO, VA 23228-4461
(804) 502-6885
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B18664082
VA
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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