Individual
ALI REZA TABASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
8720 STONY POINT PKWY STE 105, RICHMOND, VA 23235-1989
(804) 644-7478
(804) 644-8224
Mailing address
8720 STONY POINT PKWY STE 105, RICHMOND, VA 23235-1989
(804) 644-7478
(804) 644-8224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101054624
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
0101054624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6307566
—
VA
Enumeration date
04/05/2006
Last updated
01/11/2021
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