Doctor Name: | DR. NASEER AHMAD MOBASHAR |
NPI Number: | 1114048238 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101026171 |
Business Practice Address: | Buckingham Correctional Center Route 20 Dillwyn, VA - 23936 |
Business Phone Number: | 4343915980 |
Business Fax Number: | 4343915984 |
Mailing Address: | 186 Larkspur Way, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229028206 |
Phone Number: | 4342939754 |
Fax Number: | 4342939754 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101026171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |