Individual
IAN PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
549 E BRAMBLETON AVE, NORFOLK, VA 23510-2905
(757) 533-9441
(757) 446-1454
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(757) 533-9441
(757) 446-1454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253200
VA
207RC0000X
Cardiovascular Disease Physician
0213001912
VA
Other
Enumeration date
01/31/2008
Last updated
04/02/2020
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