Individual
ABU A QUTUBUDDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 COLLEGE ST, RICHMOND, VA 23298-5017
(804) 828-7999
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101234021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10072921
—
VA
Enumeration date
06/20/2006
Last updated
07/08/2007
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