Individual
PERVIZ HEYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 CANTRELL AVE, HARRISONBURG, VA 22801-3248
(540) 564-7364
(540) 564-7365
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5791
(540) 564-7038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073414000
WV MEDICAID
WV
01
—
1000870001
DME PROVIDER
VA
01
—
185401
ANTHEM/BCBS
—
01
—
20632
OPTIMA
VA
01
—
310230
SOUTHERN HEALTH
—
05
—
5844100
—
VA
Enumeration date
07/30/2006
Last updated
04/02/2008
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