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

Mohammed A Wazzan

Individual provider Cardiovascular Disease Physician · NPI 1588112759

Mohammed A Wazzan is a Cardiac Electrophysiology in Colonial Heights, Virginia. Qualified in 2011, 15 years ago. Practices with James River Cardiology, LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone: (804) 520-1764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 0101282893 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101282893 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101282893 (VA)

Record details

NPI number1588112759
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2016
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2990

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice James River Cardiology, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colonial Heights