Mubbashar, Mohammad Imtiaz

Mubbashar, Mohammad Imtiaz is an sole proprietor health care provider with primary practice located at 269 Medical Park Blvd , Petersburg VA 23805-9337. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mubbashar, Mohammad Imtiaz can be contacted via phone (804) 861-0700.

Contact Information

Primary practice address
269 Medical Park Blvd Petersburg VA 23805-9337
Phone: (804) 861-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2021-02312 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2021-02312 North Carolina

Profile Details

NPI number 1619497823
LBN Legal business name Mubbashar, Mohammad Imtiaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2017
Last updated May 3rd, 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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