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NPI Code Detail

MEDICARE: ABDUL LATIF AMIR MD

MEDICARE: ABDUL LATIF AMIR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101236604VA
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician0101236604VA
3207RS0012XSleep Medicine (Internal Medicine) Physician0101236604VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00136200OTHERVAMEDICARE RR
6P00601104OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2302011OTHERVAANTHEM BCBS
3139451OTHERVAANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255315081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUL LATIF AMIR MD
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY STE 102
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5515
Country : US
Telephone Number : 804-591-3134
Fax Number : 804-282-1487
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1710
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-282-1487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/07/2025

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Directions to “ ABDUL LATIF AMIR MD” Practice Location

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