Provider Demographics
NPI:1003867433
Name:ABOU ASSI, WALID G (MD)
Entity Type:Individual
Prefix:
First Name:WALID
Middle Name:G
Last Name:ABOU ASSI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1603 SANTA ROSA RD
Mailing Address - Street 2:RM 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5010
Mailing Address - Country:US
Mailing Address - Phone:804-288-6750
Mailing Address - Fax:804-288-6753
Practice Address - Street 1:7605 FOREST AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4938
Practice Address - Country:US
Practice Address - Phone:804-285-6390
Practice Address - Fax:804-285-6393
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2015-08-31
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Provider Licenses
StateLicense IDTaxonomies
VA0101245252207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology