Individual
AMIR J HENDIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12997 WARWICK BLVD, NEWPORT NEWS, VA 23602-8352
(757) 340-3489
Mailing address
2005 BREEZY POINT CIR, APT 202, NORTH CHESTERFIELD, VA 23235-4298
(409) 466-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101259246
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2011
Last updated
11/30/2015
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