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Individual

UZMA EHTESHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
611 TRENT ST NE, NORTON, VA 24273-1533
(276) 679-4200
(888) 981-2848
Mailing address
PO BOX 386, WISE, VA 24293
(276) 679-4200
(888) 981-2848

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101235302
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010295599
VA
Enumeration date
04/11/2006
Last updated
01/20/2015
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