Provider Demographics
NPI:1346920451
Name:ABDUL-GHAFOOR, NADIA N/A
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:N/A
Last Name:ABDUL-GHAFOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:ABDUL-GHAFOOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR NADIA A GHAFOOR
Mailing Address - Street 1:11112 BRYANS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-2767
Mailing Address - Country:US
Mailing Address - Phone:804-267-9598
Mailing Address - Fax:
Practice Address - Street 1:7410 HULL STREET RD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5834
Practice Address - Country:US
Practice Address - Phone:804-477-8687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014185361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice