Individual
MEENA REZAZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5955
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208645
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
07/11/2024
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