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Individual

DR. MAYA GHAEMMAGHAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
590 PETER JEFFERSON PLACE, SUITE 175, CHARLOTTESVILLE, VA 22911-0001
(434) 982-6900
(434) 982-8420
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101058229
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005829046
VA
01
830005898
MEDICARE RAILROAD PIN
VA
Enumeration date
12/13/2005
Last updated
02/21/2013
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