Individual
DR. PAYAM POOYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19455 DEERFIELD AVE STE 206, LEESBURG, VA 20176-8102
(703) 858-9608
(703) 858-9618
Mailing address
19455 DEERFIELD AVE STE 206, LEESBURG, VA 20176-8102
(703) 858-9608
(703) 858-9618
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101257751
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101257751
VA
208M00000X
Hospitalist Physician
37872
TN
Other
Enumeration date
04/13/2006
Last updated
07/10/2023
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