Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101245252 | VA |
NPI | 1003867433 |
---|---|
Provider Name | Walid G. Abou Assi |
First Address | Richmond, VA 23229-5010 |
Second Address | Richmond, VA 23229-4938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 31/08/2015 |