Individual
IRAJ MIRSHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5855 BREMO RD, SUITE 102, RICHMOND, VA 23226-1926
(804) 673-2814
(804) 673-2873
Mailing address
5855 BREMO RD, SUITE 102, RICHMOND, VA 23226-1926
(804) 673-2814
(804) 673-2873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102037186
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022987
CIGNA
VA
05
—
005859069
—
VA
01
—
110218853
RAILROAD MEDICARE
VA
01
—
131864
SOUTHERN HEALTH SERVICES
VA
01
—
178635
ANTHEM BCBS OF VA
VA
01
—
279845
MAMSI
VA
01
—
4515664
AETNA HMO
VA
01
—
45878
SENTARA
VA
Enumeration date
06/25/2006
Last updated
11/25/2009
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