Individual
EHSAUN HEYDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298-5024
(804) 828-9165
(804) 828-4493
Mailing address
VCUHS GME ADMINISTRATION, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1497440234
VA
Other
Enumeration date
04/07/2023
Last updated
06/07/2025
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