Individual
SIMIN VAKILY ASL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
816 INDEPENDENCE BLVD STE 100, VIRGINIA BEACH, VA 23455-6010
(757) 363-6800
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246089
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174785497
—
VA
Enumeration date
06/27/2008
Last updated
10/12/2023
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