Healthcare Provider Details

I. General information

NPI: 1033503289
Provider Name (Legal Business Name): MUHAMMAD YASEEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 ATLEE RD
MECHANICSVILLE VA
23116-1844
US

IV. Provider business mailing address

11071 ELLIS MEADOWS LN
GLEN ALLEN VA
23059-6000
US

V. Phone/Fax

Practice location:
  • Phone: 804-764-6000
  • Fax:
Mailing address:
  • Phone: 513-302-5590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number0101278273
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101278273
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101278273
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: