Hejazi, Masoud S

Hejazi, Masoud S is an individual health care provider with primary practice located at 705 Piney Forest Rd , Danville VA 24540-2860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Hejazi, Masoud S can be contacted via phone (434) 710-4210.

Contact Information

Primary practice address
705 Piney Forest Rd Danville VA 24540-2860
Phone: (434) 710-4210
Fax: (434) 792-1471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0101053286 Virginia
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 33063 North Carolina

Profile Details

NPI number 1932156056
LBN Legal business name Hejazi, Masoud S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Sep 11th, 2012 - about 12 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 1932156056 NPPES
North Carolina MEDICAID 8941181

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