Individual
ROUZBEH SHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3241 WESTERN BRANCH BLVD, BAYVIEW PHYSICIAN GROUP, CHESAPEAKE, VA 23321-5260
(757) 686-3500
Mailing address
3241 WESTERN BRANCH BLVD, BAYVIEW PHYSICIAN GROUP, CHESAPEAKE, VA 23321-5260
(757) 686-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255273
VA
208M00000X
Hospitalist Physician
0101255273
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
01
—
10130501
OPTIMA HEALTH
VA
01
—
1437458981
COVENTRY NETWORK
VA
05
—
1437458981
—
NC
05
—
1437458981
—
VA
01
—
520626
ANTHEM BC/BS
VA
01
—
PAR
CORVEL
VA
Enumeration date
03/23/2011
Last updated
07/09/2020
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