Individual
DR. RYAN DOUGLAS FASHEMPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101270479
VA
208D00000X
General Practice Physician
0101270479
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101270479
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
04/25/2019
Last updated
06/22/2026
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