| NPI | 1578776779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTA G HAQUE President 757-397-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101-048420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101-048420) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-02-14 |