Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mohammad Imtiaz Mubbashar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619497823

Dr. Mohammad Imtiaz Mubbashar, MD is a Psychiatry in Petersburg, Virginia. Qualified in 2010, 16 years ago. Practices with Virginia South Psychiatric and Family Services, a 35-clinician group and offers telehealth. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

269 Medical Park Blvd
Petersburg, VA 23805-9337
Phone: (804) 861-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 2021-02312 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 2021-02312 (NC)

Record details

NPI number1619497823
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2017
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Virginia South Psychiatric And Family Services — 35 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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