Individual
DR. NASROLLAH FATEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 210, VIRGINIA BEACH, VA 23455-5500
(757) 460-0455
(757) 460-6026
Mailing address
1020 INDEPENDENCE BLVD, SUITE 210, VIRGINIA BEACH, VA 23455-5500
(757) 460-0455
(757) 460-6026
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101038722
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7398867
—
VA
Enumeration date
07/17/2006
Last updated
07/08/2007
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