Daugherty, Reza J.

Daugherty, Reza J. is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Daugherty, Reza J. can be contacted via phone (434) 924-9400.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0816
Phone: (434) 924-9400
Fax: (434) 982-1618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X C10007905 Delaware
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X C10007905 Delaware
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C10007905 Delaware
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD419063 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 0101264628 Virginia

Profile Details

NPI number 1184716938
LBN Legal business name Daugherty, Reza J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184716938 NPPES
New Jersey MEDICAID 0001830
New Jersey MEDICAID 1184716938
New Jersey MEDICAID 4100646

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