WALID I. FAWAZ (NPI# 1477714111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477714111 |
| Entity Type | Individual |
| Full Name | WALID I. FAWAZ |
| Credential | M.D. |
| Practice Address |
207 N 4th Ave Hopewell VA 23860-2503 |
| Mailing Address |
269 Medical Park Blvd Petersburg VA 23805-9337 |
| Practice Telephone | 8045410918 |
| Practice Fax Number | 8045417924 |
| Mailing Telephone | 8048610700 |
| Mailing Fax Number | 8048634626 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101243555 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101243555 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1477714111 | 05 |
| Street Address |
207 N 4TH AVE |
| City | HOPEWELL |
| State | VA |
| Zip Code | 23860-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437110053 | Salman Siddiqui | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2006-03-31 |
| 1285136895 | Annette Alston | Counselor | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2018-02-28 |
| 1871944462 | Muhammad Hasnain Abbas | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2016-06-25 |
| 1891134599 | Srinivasa Reddy Punyala | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2013-06-17 |
| 1245487503 | Prakash Bhushan Karn | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2008-08-19 |
| 1942419692 | Rakesh Kumar Shah | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2007-05-21 |
| 1285644104 | Banerje Koduru | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2006-08-09 |
| 1821014408 | Melissa Bunce | Counselor | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2006-07-15 |
| 1376577510 | Mark A Simonetta | Counselor | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2006-07-11 |
| 1578521977 | Kamala Agarwal | Psychiatry & Neurology | 207 N 4th Ave, Hopewell, VA 23860-2503 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862429 | Tameara Sloan | Specialist | 912 Sycamore Street, Hopewell, VA 23860 | 2018-12-07 |
| 1184100018 | Kirstin Marie Mckay | Registered Nurse | 411 W. Randolph Road, Hopewell, VA 23860 | 2018-07-13 |
| 1326556705 | Lenise Benzina Mazyck | Social Worker | 600 Winston Churchill Drive, 1c, Hopewell, VA 23860 | 2018-01-19 |
| 1003323163 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 2704 Oaklawn Blvd, Hopewell, VA 23860 | 2018-01-10 |
| 1568911261 | Sierra James | Counselor | 2004 Saint.thomas Road, Hopewell, VA 23860 | 2016-09-23 |
| 1588014484 | Trinity Plus 1 Transportation LLC | Non-emergency Medical Transport (VAN) | 108 N. 7th Avenue, Hopewell, VA 23860 | 2016-06-21 |
| 1275988909 | Live, Learn & Love, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4003 Jamestown Drive, Hopewell, VA 23860 | 2016-05-02 |
| 1972982031 | Mohammad Bhuiyan | Physical Therapist | 201 Eppes St, Hopewell, Heritage Healthcare,riverview On The Appomattox, Hopewell, VA 23860 | 2015-05-22 |
| 1982090494 | Pioneer Home Health, Inc. | Home Health | 740 S Bacons Chase, Hopewell, VA 23860 | 2015-04-10 |
| 1700220282 | Briggs Dwd Home Health Care LLC | Clinic/Center | 624 South 6 Avenue, Hopewell, VA 23860 | 2013-04-26 |
| Find all providers in zip 23860 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.