| NPI | 1285030528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD FAROOQ President 804-721-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055927) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |