Most Relevant Information
Provider Data
| NPI Number: | 1003470444 |
| Provider Name: | INTEKHAB ASKARI SYED AHMAD RAZA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2019 |
| Last Updated: | 10/03/2022 |
Provider Practice Location
115 COLLEGE ST
CLARKSVILLE
VA
239279125
Practice Location Phone/Fax
| Phone: | 4343745344 |
| Fax: |
Provider Mailing Location
115 COLLEGE ST
CLARKSVILLE
VA
239279125
Provider Mailing Phone/Fax
| Phone: | 4343745344 |
| Fax: |