Individual
DR. MOHAMMED KANYORI BOYE SOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2232 DEVORE CT, VIRGINIA BEACH, VA 23451-1076
(757) 412-1156
(757) 412-1301
Mailing address
2232 DEVORE CT, VIRGINIA BEACH, VA 23451-1076
(757) 412-1156
(757) 412-1301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101237535
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010149436
—
VA
01
—
178901
ANTHEM BLUE CROSS
VA
01
—
218064
MAMSI
VA
Enumeration date
04/07/2006
Last updated
12/12/2008
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