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Individual

MASSOUM MOAYERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
P.O. BOX 3009, VIRGINIA BEACH, VA 23454-9109
(757) 497-1987
(757) 671-7002
Mailing address
P.O. BOX 3009, VIRGINIA BEACH, VA 23454-9109
(757) 497-1987
(757) 671-7002

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101034804
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006304281
VA
01
08-00045
UNITED HEALTHCARE
01
1386878
CAQH
01
321182
MAMSI
01
330961
ANTHEM
VA
01
35052
SENTARA/OPTIMA
VA
01
4041932
AETNA
01
6304281
VIRGINIA PREMIER
VA
05
6304281
VA
Enumeration date
08/23/2006
Last updated
08/29/2025
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