Izadi, Keyoumars

Izadi, Keyoumars is an sole proprietor health care provider with primary practice located at 409 Chatham Square Office Park , Fredericksburg VA 22405-2561. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Izadi, Keyoumars can be contacted via phone (540) 371-4131.

Contact Information

Primary practice address
409 Chatham Square Office Park Fredericksburg VA 22405-2561
Phone: (540) 371-4131
Fax: (540) 371-5621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101243951 Virginia
Dental Providers / Dentist 122300000X 0401412094 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0438000243 Virginia

Profile Details

NPI number 1184732216
LBN Legal business name Izadi, Keyoumars
Credentials MD, DDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Jun 30th, 2009 - about 15 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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