Al Jassar, Muhanad
Al Jassar, Muhanad is an individual health care provider with primary practice located at 5486 Indian River Rd , Virginia Beach VA 23464-5365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Al Jassar, Muhanad can be contacted via phone (757) 424-2490.Contact Information
Primary practice address
5486 Indian River Rd
Virginia Beach VA 23464-5365
Phone: (757) 424-2490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101237709 | Virginia |
Profile Details
| NPI number | 1790783884 |
|---|---|
| LBN Legal business name | Al Jassar, Muhanad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 13th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790783884 | NPPES |
| Virginia | MEDICAID | 1790783884 |
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