Individual
ALIREZA FARPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 GAINSBOROUGH SQ, SUITE 400, CHESAPEAKE, VA 23320-1713
(757) 842-4499
(757) 842-4490
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101052411
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7308027
—
VA
Enumeration date
05/31/2006
Last updated
11/20/2020
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