DR. MAHMOOD PANBEHCHI (NPI# 1255576013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255576013 |
Entity Type | Individual |
Full Name | DR. MAHMOOD PANBEHCHI |
Credential | M.D. |
Practice Address |
4601 Ironbound Rd Williamsburg VA 23188-2648 |
Mailing Address |
5 Mile Crse Williamsburg VA 23185-5525 |
Practice Telephone | 7572534309 |
Practice Fax Number | 7572534625 |
Mailing Telephone | 7572534309 |
Mailing Fax Number | 7572534625 |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 0101019005 | VA | Allopathic & Osteopathic Physicians |
Street Address |
4601 IRONBOUND RD |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23188-2648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861490344 | Eastern State Hospital | Pharmacy | 4601 Ironbound Rd, Pharmacy Box 8791, Williamsburg, VA 23188-2648 | 2005-07-08 |
1417578428 | Hannah Olson | Occupational Therapist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-04-30 |
1366079113 | Hali Griswold | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-03-23 |
1851933147 | Gia Davila | Social Worker | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-10-08 |
1083263768 | Brittany Bak | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-09-05 |
1457913964 | Kojo Sarfo | Nurse Practitioner | 4601 Ironbound Rd, Williamsburg, VA 23188 | 2019-07-03 |
1982269841 | Carmen Kristina Ramos | Physical Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-07 |
1730744087 | Victoria Taylor-bowman | Occupational Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-02 |
1568959831 | William Menton | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-22 |
1619474103 | Jeremy Matthew Schreiber | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
Find all providers in zip 23188 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
1326020728 | Rustico Tolentino Gotico | General Practice | 4601 Ironbound Rd., Eastern State Hospital, Williamsburg, VA 23187-8791 | 2005-11-19 |
1548433147 | Joseph Daniel Brown IIi | General Practice | 224 Monticello Ave, Williamsburg, VA 23185 | 2008-04-04 |
1932384567 | John Charles Marsh | General Practice | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2008-01-02 |
1215913389 | Ruben V. Luna Sr. | General Practice | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2005-12-20 |
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1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
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1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
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1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
Find all providers with the same taxonomy |
City | WILLIAMSBURG |
Zip Code | 23188 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.