Individual
DR. MICHAEL MOHAMMAD REZAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 DOCTOR OATES DR, SUITE 104, MARTINSBURG, WV 25401-8896
(304) 262-0085
(304) 262-0356
Mailing address
PO BOX 1236, STERLING, VA 20167-8415
(304) 262-0085
(304) 262-0356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16112
WV
207RR0500X
Rheumatology Physician
Primary
16112
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081978000
—
WV
01
—
466846
ANTHEM BLUE CROSS
VA
Enumeration date
12/28/2006
Last updated
09/11/2025
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