Healthcare Provider Details

I. General information

NPI: 1952798126
Provider Name (Legal Business Name): SYED HASAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E. MARSHALL ST. BOX 980401
RICHMOND VA
23298
US

IV. Provider business mailing address

1250 E. MARSHALL ST. BOX 980401
RICHMOND VA
23298
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-4860
  • Fax: 804-828-4603
Mailing address:
  • Phone: 804-828-4860
  • Fax: 804-828-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR5124
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: