Individual
MS. HAYDEH F ESMAILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2470 PRUDEN BLVD, SUFFOLK, VA 23434
(757) 539-1503
(757) 539-0107
Mailing address
184 BUSINESS PARK DRIVE, SUITE 200, VIRGINIA BEACH, VA 23462-6533
(757) 466-3336
(757) 455-5750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101039180
VA
174400000X
Specialist
Primary
101039180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007153619
—
VA
01
—
038574000
MAGELLAN BEHAVIORAL
VA
01
—
080387
SENTARA
VA
01
—
099354
BCBS09 FED
VA
01
—
54149342
CIGNA
VA
01
—
541493432
BCBS
NC
01
—
541493432
MAMSI
VA
05
—
890539C
—
NC
01
—
AETNA
541493432
VA
Enumeration date
08/01/2006
Last updated
10/19/2009
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