Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101240720 | VA |
N | 207P00000X | Emergency Physician | 0101240720 | VA |
N | 207RS0012X | Sleep Medicine | 0101240720 | VA |
N | 208000000X | Pediatrician | 0101240720 | VA |
N | 208000000X | Pediatrician | 23050 | SC |
N | 2080P0214X | Pediatric Pulmonologist | 0101240720 | VA |
NPI | 1306883376 |
---|---|
Provider Name | Dr. Muhammad Rais |
First Address | Richmond, VA 23225-8919 |
Second Address | Richmond, VA 23225-4038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 01/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306883376 | (05) | VA |
20-2660098 | GAFFNEY MEDICAL ASSOCIATE (01) | SC |
G45657 | (02) | SC |
G45657 | (02) | VA |
GP4210 | (05) | SC |