Individual
MOZHDEH SALOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 COLISEUM DR, SENTARA CAVEPLEX HOSPITAL, HAMPTON, VA 23666
(757) 736-1621
(757) 827-6748
Mailing address
PO BOX 12127, NEWPORT NEWS, VA 23612-2127
(757) 867-6101
(757) 867-6587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101055359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10016802
OPTIMA
VA
Enumeration date
10/03/2006
Last updated
07/08/2007
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