Individual
THOMAS KAYROUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 HIGHLAND AVE SE, ROANOKE, VA 24013-2255
(540) 224-4545
Mailing address
1926 TUCKER LN, SALEM, VA 24153-7102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101-042234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6723896
—
VA
05
—
6724442
—
VA
Enumeration date
02/02/2006
Last updated
05/02/2008
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