Provider Demographics
NPI:1043303910
Name:HOSSAIN, DELOAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DELOAR
Middle Name:
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 INNSLAKE DR
Mailing Address - Street 2:BOSTWICK LABORATORIES
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6742
Mailing Address - Country:US
Mailing Address - Phone:804-967-9225
Mailing Address - Fax:804-545-9738
Practice Address - Street 1:4355 INNSLAKE DR
Practice Address - Street 2:BOSTWICK LABORATORIES
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6742
Practice Address - Country:US
Practice Address - Phone:804-967-9225
Practice Address - Fax:804-545-9738
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101239764207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology