Individual
DR. ISAM T ZIBDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 15TH ST NW, SUITE 301, NORTON, VA 24273-1616
(276) 679-1624
(276) 679-6011
Mailing address
102 15TH ST NW, SUITE 301, NORTON, VA 24273-1616
(276) 679-1624
(276) 679-6011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101029808
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629016654
—
VA
Enumeration date
06/03/2006
Last updated
03/08/2010
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