Al-Dahwah, Khadijah Mohammed

Al-Dahwah, Khadijah Mohammed is an individual health care provider with primary practice located at 324 Louisa Ave Ste 110 , Virginia Beach VA 23454-4669. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Al-Dahwah, Khadijah Mohammed can be contacted via phone (757) 668-4840.

Contact Information

Primary practice address
324 Louisa Ave Ste 110 Virginia Beach VA 23454-4669
Phone: (757) 668-4840
Fax: (757) 668-4838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301505150 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 010272327 Virginia

Profile Details

NPI number 1316443385
LBN Legal business name Al-Dahwah, Khadijah Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Oct 11th, 2023 - about 3 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 1316443385 NPPES
Michigan MEDICAID 1316443385

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