| Hampton Roads Family Practice | |
|
665 Newtown Rd Ste 114 Virginia Beach VA 23462-1683 | |
| (757) 490-1226 | |
| Not Available |
| Full Name | Hampton Roads Family Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 665 Newtown Rd Ste 114, Virginia Beach, Virginia |
| Authorized Official Name and Position | Mohammad Rassool (PHYSICIAN) |
| Authorized Official Contact | 7574901226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Family Practice 665 Newtown Rd Ste 114 Virginia Beach VA 23462-1683 Ph: (757) 490-1226 | Hampton Roads Family Practice 665 Newtown Rd Ste 114 Virginia Beach VA 23462-1683 Ph: (757) 490-1226 |
| NPI Number | 1326175043 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326175043 | NPI | - | NPPES |
| 010081131 | Medicaid | VA | |
| 006080251 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101038190 (Virginia) | Primary |
| 213E00000X | Podiatrist | 0103300868 (Virginia) | Secondary |
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