Individual
DR. MASOUD S HEJAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PINEY FOREST RD, DANVILLE, VA 24540-2860
(434) 710-4210
(434) 792-1471
Mailing address
705 PINEY FOREST RD, DANVILLE, VA 24540-2860
(434) 710-4210
(434) 792-1471
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
0101053286
VA
2084P0802X
Addiction Psychiatry Physician
33063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8941181
—
NC
Enumeration date
05/27/2006
Last updated
09/11/2012
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