Healthcare Provider Details

I. General information

NPI: 1629452727
Provider Name (Legal Business Name): AHMED M MURTUZA PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4985 MORIAH WAY
KESWICK VA
22947-3106
US

IV. Provider business mailing address

4985 MORIAH WAY
KESWICK VA
22947-3106
US

V. Phone/Fax

Practice location:
  • Phone: 434-999-4262
  • Fax:
Mailing address:
  • Phone: 434-999-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202210493
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: