Provider Demographics
NPI:1649775537
Name:NAQVI, SYED WAQAR HUSSAIN
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:WAQAR HUSSAIN
Last Name:NAQVI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12804 WILLOW POINT DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-0258
Mailing Address - Country:US
Mailing Address - Phone:540-257-9606
Mailing Address - Fax:
Practice Address - Street 1:12804 WILLOW POINT DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-0258
Practice Address - Country:US
Practice Address - Phone:540-257-9606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver