MOHAMMED A WAZZAN NPI 1588112759

NPI Information

  • NPI: 1588112759
  • Provider Name: MOHAMMED A WAZZAN
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 445 CHARLES H DIMMOCK PKWY STE 100
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (804) 520-1764

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NPI Details

Mohammed A Wazzan is a clinical cardiac electrophysiology internal medicine in Colonial Heights, VA with 15 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Mohammed A Wazzan NPI is 1588112759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

445 CHARLES H DIMMOCK PKWY STE 100
COLONIAL HEIGHTS, VA
ZIP 23834-990
Phone: (804) 520-1764

The NPI 1588112759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2016 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease0101282893VIRGINIANo
2207R00000XInternal Medicine0101282893VIRGINIANo
3207RC0001XInternal MedicineClinical Cardiac Electrophysiology0101282893VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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