Individual
DR. POURAN NADJI NOWROOZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 KINGSLEY LN, SUITE 205 DEPAUL ATRIUM, NORFOLK, VA 23505-4600
(757) 625-0557
(757) 625-1361
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 625-0557
(757) 625-1361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101034539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006206972
—
VA
01
—
064NF
BC/BS
NC
01
—
10003529
SENTARA OPTIMA
VA
05
—
1184690661
—
VA
01
—
14361
SENTARA OPTIMA
VA
01
—
2146283
UHC/MAMSI
VA
01
—
258983
ANTHEM
VA
05
—
89064NF
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
02/24/2006
Last updated
01/27/2009
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