DR. OSAMA SHOUEB MODJADIDI (NPI# 1679739312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679739312 |
| Entity Type | Individual |
| Full Name | DR. OSAMA SHOUEB MODJADIDI |
| Credential | D.M.D. |
| Practice Address |
113 Gainsborough Sq Suite 101 Chesapeake VA 23320-1713 |
| Practice Telephone | 7575485619 |
| Practice Fax Number | 7575486930 |
| Mailing Telephone | 7575485619 |
| Mailing Fax Number | 7575486930 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10783 | VA | Dental Providers |
| Street Address |
113 GAINSBOROUGH SQ SUITE 101 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669980 | David J West | Internal Medicine | 113 Gainsborough Sq, Ste 300, Chesapeake, VA 23320-1714 | 2005-06-14 |
| 1629322615 | Chesapeake Family Dental | Dentist | 113 Gainsborough Sq, Suite 101, Chesapeake, VA 23320-1713 | 2012-10-30 |
| 1225310550 | Sharon Y. Colvin, D.d.s., P.c | Dentist | 113 Gainsborough Sq, Suite 101, Chesapeake, VA 23320-1713 | 2011-09-13 |
| 1326377490 | Commonwealth Plastic Surgery, P.C. | Plastic Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2009-12-18 |
| 1235393737 | Reena Nandita Tahilramani | Surgery | 113 Gainsborough Sq, Chesapeake, VA 23320-1713 | 2008-07-14 |
| 1063688117 | Stephen Hsiang-han Lin | Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2008-05-07 |
| 1326222779 | Brian Seth Buchberg | Colon & Rectal Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2007-12-20 |
| 1437331725 | Sentara Medical Group | Urology | 113 Gainsborough Sq, Ste 202, Chesapeake, VA 23320-1713 | 2007-11-29 |
| 1215067111 | Urology of Virginia PC | Durable Medical Equipment & Medical Supplies | 113 Gainsborough Sq, Ste 202, Chesapeake, VA 23320-1713 | 2007-03-07 |
| 1700938750 | Pulmonary Consultants of Tidewater PC | Internal Medicine | 113 Gainsborough Sq, Suite 300, Chesapeake, VA 23320-1713 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1457980658 | Harold J Marioneaux Jr. | Dentist | 504 Mill Stone Rd, Chesapeake, VA 23322-4367 | 2020-04-08 |
| 1750860623 | Irtiza Ghulam Abbas | Dentist | 1419 Cedar Rd Ste 100, Chesapeake, VA 23322-7492 | 2018-08-10 |
| 1801380134 | Ryan Clark Shuck | Dentist | 3326 Taylor Rd, Chesapeake, VA 23321-2518 | 2018-06-20 |
| 1811406614 | Dental Professionals of Virginia, P.C. | Dentist | 249 Hanbury Rd E Ste 110, Chesapeake, VA 23322-6623 | 2017-09-25 |
| 1114331782 | Darrell L Boyce | Dentist | 1711 Parkview Dr, Chesapeake, VA 23320-2630 | 2014-06-11 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1750718177 | Vacendak Dentistry, Pllc | Dentist | 701 Quince Place, Chesapeake, VA 23320 | 2013-09-30 |
| 1376983593 | Shefali Parekh | Dentist | 1533 Volvo Pkwy Ste 100, Chesapeake, VA 23320-8489 | 2013-07-02 |
| 1942565213 | Krystie M Niver | Dentist | 236 Carmichael Way, Suite # 312, Chesapeake, VA 23322-2185 | 2012-07-11 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.