# EAST COAST PM&R CONSULTANTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659780047
- **Authorized official:** SHAHRIAR NABIZADEH (OWNER/PROVIDER)
- **Authorized official phone:** (904) 803-7593

## Contact information

- **Practice address:** 103 NORTH ST, BRISTOL, VA 24201
- **Practice address phone:** (276) 642-7900
- **Practice address fax:** (276) 642-8092
- **Mailing address:** 5700 FITZHUGH AVE, RICHMOND, VA 23226-1800
- **Mailing address phone:** (904) 803-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101256648 | VA | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 01/23/2019