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General NPI Number Information
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NPI Number | 1124394390
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Entity Type | Individual
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Provider Name | JAWAD SARWAT HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2012
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2810 N PARHAM RD STE 315
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City | RICHMOND
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State | VA
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Zip | 23294-4424
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Country | US
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Telephone | 804-281-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 N PARHAM RD STE 315
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City | RICHMOND
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State | VA
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Zip | 23294-4424
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Country | US
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Telephone | 804-281-8534
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101264129
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME143952
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME143952
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 0101264129
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License Number State | VA
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