Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAMMAD IMTIAZ MUBBASHAR, MD
Active Sole ProprietorDR. MOHAMMAD IMTIAZ MUBBASHAR, MD is a Psychiatric Neurology healthcare provider located in PETERSBURG, Virginia. NPI 1619497823 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · PETERSBURG, VA
Registration Details
- NPI Number
- 1619497823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2017 (9.1081138486028 yrs)
- Last Updated
- May 3, 2023
- Licenses
-
2021-02312 (NC)2021-02312 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
269 MEDICAL PARK BLVDPETERSBURG, VA, 238059337Browse VA providers · Browse ZIP 23805
- Phone
- 8048610700
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatry
Other Psychiatric Neurology Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| C. RAO AMARA | M.D. | 1942265509 |
| THRESA HELEN SIMON | M.D. | 1003871989 |
| DEVI VASU | M.D. | 1114121829 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.