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Individual

DR. MARVI IBRAHIM BALOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 COMMISSION CT STE 201, LAKE RIDGE, VA 22192-1771
(540) 779-5180
Mailing address
2601 N JOHN B DENNIS HWY APT 104, KINGSPORT, TN 37660-5872
(703) 901-3571

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101287743
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/18/2022
Last updated
12/20/2025
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