Individual
MITRA SAHEBAZAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 447-3151
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
305532
VA
1835C0205X
Critical Care Pharmacist
C194975
CA
207R00000X
Internal Medicine Physician
C194975
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101246269
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01087805A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01087805B
IN
207RP1001X
Pulmonary Disease Physician
0101246269
VA
207RP1001X
Pulmonary Disease Physician
2018-02078
NC
207RP1001X
Pulmonary Disease Physician
C194975
CA
208M00000X
Hospitalist Physician
0101246269
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780814392
—
NC
05
—
1780814392
—
VA
01
—
19YH6
BCBS OF NC
NC
01
—
NN4574B
MEDICARE
NC
Enumeration date
07/16/2009
Last updated
03/11/2026
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