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ELIUD IRIZARRY CLAUDIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 985-9427
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
016446
PR
2084N0400X
Neurology Physician
Primary
0101271055
VA
2084N0400X
Neurology Physician
016446
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000789640
ANTHEM BCBS
IN
01
000000885703
ANTHEM BCBS
IN
05
201120720
IN
01
P01616094
RR MEDICARE
IN
Enumeration date
10/03/2006
Last updated
02/08/2021
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