Provider Demographics
NPI:1730389784
Name:SOHAIL, WAQAS (MD)
Entity type:Individual
Prefix:
First Name:WAQAS
Middle Name:
Last Name:SOHAIL
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 1:8262 ATLEE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1816
Mailing Address - Country:US
Mailing Address - Phone:804-325-8720
Mailing Address - Fax:804-764-7351
Practice Address - Street 1:8262 ATLEE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1816
Practice Address - Country:US
Practice Address - Phone:804-325-8720
Practice Address - Fax:804-764-7351
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-017822084N0400X
VA01012521542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGMedicaid
VAC06115OtherGROUP PTAN
VAC06115OtherGROUP PTAN