NPI 1104010453

Zia Razzaq, DSCCMTLLCCNCTMB

Practitioner Specialist Virginia Beach, VA

Practice location

Address: 3322 Virginia Beach Blvd STE 120, Virginia Beach, VA 23452-5608
Phone: (757) 615-2124
Mailing address: 4128 Cheswick Ln, Virginia Beach, VA 23455-6559

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0019 005511 (VA)

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Registry record

NPI: 1104010453
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2007
Record last updated: 22 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.