Provider Demographics
NPI:1497102966
Name:ZOHAIB, MOHAMMAD (DDS)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:ZOHAIB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9749 BUCHANAN LOOP
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-7856
Mailing Address - Country:US
Mailing Address - Phone:703-996-4414
Mailing Address - Fax:
Practice Address - Street 1:9749 BUCHANAN LOOP
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-7856
Practice Address - Country:US
Practice Address - Phone:703-996-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014161961223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry