Byrd, Jessica Panteha Abedi
Byrd, Jessica Panteha Abedi is an individual health care provider with primary practice located at 611 E Jubal Early Dr , Winchester VA 22601-5178. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Byrd, Jessica Panteha Abedi can be contacted via phone (540) 536-5500.Contact Information
Primary practice address
611 E Jubal Early Dr
Winchester VA 22601-5178
Phone: (540) 536-5500
Fax: (540) 536-5507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101057879 | Virginia |
Profile Details
| NPI number | 1639175391 |
|---|---|
| LBN Legal business name | Byrd, Jessica Panteha Abedi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 14th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639175391 | NPPES |
| Virginia | MEDICAID | 005645948 |
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