Individual
MR. MUHAMMAD ISHTIAQ RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EAST BROAD STREET, MCV PHYSICIANS, RICHMOND, VA 23298
(804) 327-4046
(804) 327-4047
Mailing address
P.O. BOX 980663, MCV. 1001 EAST BROAD STREET, RICHMOND, VA 23298-0663
(804) 828-5323
(804) 828-8660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010228981
—
VA
05
—
1932190451
—
VA
Enumeration date
11/03/2005
Last updated
09/20/2012
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