Individual
DR. HAMID REZA OKHRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 201, NORFOLK, VA 23507-1914
(757) 446-7040
(757) 446-7049
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7040
(757) 446-7049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37126
TN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101240384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-022
TRICARE/CHAMPUS
VA
01
—
10060155
OPTIMA HEALTH
VA
05
—
1912973397
—
VA
01
—
407049
ANTHEM BC/BS
VA
05
—
5915059
—
NC
01
—
PAR
CIGNA
VA
Enumeration date
02/27/2006
Last updated
10/21/2010
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