IJAZ RYAN RAFIQ MOHAMED

ROANOKE, VA
NPI1235833831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  390200000X)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
-- IJAZ RYAN RAFIQ MOHAMED DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
Mailing Address
-- IJAZ RYAN RAFIQ MOHAMED DO
4917 ELLIS LN
ELLICOTT CITY, MD 21043-6852
Phone number: 410-599-8728
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