Provider Demographics
NPI:1659407930
Name:SARKER, MUHAMMAD A R (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:A R
Last Name:SARKER
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 1:2025 E MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7069
Mailing Address - Country:US
Mailing Address - Phone:804-256-1985
Mailing Address - Fax:804-253-1979
Practice Address - Street 1:2025 E MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7069
Practice Address - Country:US
Practice Address - Phone:804-591-2890
Practice Address - Fax:804-591-2895
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010186536Medicaid
VAF-99545Medicare UPIN