Osama Shoueb Modjadidi in Chesapeake - General Practice

Osama Shoueb Modjadidi - NPI 1679739312

Osama Shoueb Modjadidi is a General Practice in Chesapeake, Virginia. Osama Shoueb Modjadidi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Osama Shoueb Modjadidi is 1679739312. The last update date is 2012-10-10.

Osama Shoueb Modjadidi's current location address is 113 Gainsborough Sq, Chesapeake, Virginia. You can contact this provider via phone number 7575485619 and fax number 7575486930. The mailing address for Osama Shoueb Modjadidi is 113 Gainsborough Sq, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Osama Shoueb Modjadidi
Address 113 Gainsborough Sq, Chesapeake, Virginia
Phone Number 7575485619
Fax Number 7575486930
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1679739312
Provider Enumeration Date 2008-08-01
Last Updated Date 2012-10-10

Provider Mailing Address Detail

Address 113 Gainsborough Sq
City Chesapeake
State Virginia (VA)
Post Code 233201713
Phone Number 7575485619
Fax Number 7575486930

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10783
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Osama Shoueb Modjadidi

What is the unique 10-digit identification code assigned to Osama Shoueb Modjadidi by the Centers for Medicare & Medicaid Services?

The Osama Shoueb Modjadidi has been issued the NPI (National Provider Identifier) 1679739312, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Osama Shoueb Modjadidi's facilities are situated?

The facilities of Osama Shoueb Modjadidi are physically located at the following address: 113 Gainsborough Sq, Chesapeake, VA, 233201713.

What is Osama Shoueb Modjadidi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Osama Shoueb Modjadidi's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Osama Shoueb Modjadidi receive its 1679739312 assignment from the Centers for Medicare & Medicaid Services?

The Osama Shoueb Modjadidi was assigned its 1679739312 by the Centers for Medicare & Medicaid Services on 2008-08-01.

When was the Osama Shoueb Modjadidi's information last updated?

The Osama Shoueb Modjadidi's information was last updated on 2012-10-10.

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