Nowroozi, Maryam M
Nowroozi, Maryam M is an individual health care provider with primary practice located at 4106 Portsmouth Blvd , Portsmouth VA 23701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nowroozi, Maryam M can be contacted via phone (757) 393-1136.Contact Information
Primary practice address
4106 Portsmouth Blvd
Portsmouth VA 23701
Phone: (757) 393-1136
Fax: (757) 698-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101233196 | Virginia |
Profile Details
| NPI number | 1306807201 |
|---|---|
| LBN Legal business name | Nowroozi, Maryam M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Oct 23rd, 2019 - about 6 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 | 1306807201 | NPPES |
| Virginia | MEDICAID | 010221871 | |
| Virginia | Other | 186909 |
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