Individual
FARNAZ M GAZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2283
(434) 982-0019
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101243917
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116016396
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003038118
—
VA
Enumeration date
05/02/2007
Last updated
03/04/2019
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