Qutubuddin, Abu A

Qutubuddin, Abu A is an individual health care provider with primary practice located at 401 College St , Richmond VA 23298-5017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Qutubuddin, Abu A can be contacted via phone (804) 828-7999.

Contact Information

Primary practice address
401 College St Richmond VA 23298-5017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101234021 Virginia

Profile Details

NPI number 1962448886
LBN Legal business name Qutubuddin, Abu A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962448886 NPPES
Virginia MEDICAID 10072921

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