Individual
FRESHTA JAGHORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 MONTICELLO AVE STE 100, NORFOLK, VA 23510-2564
(757) 346-5770
(866) 292-0928
Mailing address
1231 N TUTTLE AVE, SARASOTA, FL 34237-3116
(941) 366-0134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101251757
VA
207RI0200X
Infectious Disease Physician
22847
NH
207RI0200X
Infectious Disease Physician
300031
LA
207RI0200X
Infectious Disease Physician
4852
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
01
—
10092499
OPTIMA HEALTH
VA
01
—
1760610091
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1760610091
—
VA
01
—
300031
LA LICENSE
LA
01
—
470311
ANTHEM BC/BS
VA
05
—
5920235
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
06/25/2009
Last updated
10/29/2024
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