Mubbashar, Mohammad Imtiaz
Mubbashar, Mohammad Imtiaz is an sole proprietor health care provider with primary practice located at 269 Medical Park Blvd , Petersburg VA 23805-9337. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mubbashar, Mohammad Imtiaz can be contacted via phone (804) 861-0700.Contact Information
Primary practice address
269 Medical Park Blvd
Petersburg VA 23805-9337
Phone: (804) 861-0700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2021-02312 | North Carolina |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2021-02312 | North Carolina |
Profile Details
NPI number | 1619497823 |
---|---|
LBN Legal business name | Mubbashar, Mohammad Imtiaz |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2017 |
Last updated | May 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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