Individual
DR. MASUD REZA QUADIR BAKSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 W BROAD ST STE 2, FALLS CHURCH, VA 22046-3206
(252) 209-3148
(252) 209-3146
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200000715
NC
207R00000X
Internal Medicine Physician
Primary
0101226382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127M6
BCBS OF NC
NC
05
—
89127M6
—
NC
01
—
D7889
MEDCOST
NC
Enumeration date
03/17/2006
Last updated
03/05/2021
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