ABUTALEB AHSAN EJAZ (NPI# 1700827136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700827136 |
| Entity Type | Individual |
| Full Name | ABUTALEB AHSAN EJAZ |
| Other Name | ABUTALEB AHSAN EJAZ |
| Credential | MD |
| Practice Address |
935 S Main St Farmville VA 23901-2211 |
| Practice Telephone | 4343155360 |
| Practice Fax Number | 4343155898 |
| Mailing Telephone | 4343155360 |
| Mailing Fax Number | 4343155898 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101264739 | VA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME67226 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259116200 | 05 |
| Street Address |
935 S MAIN ST |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167099 | David E Pruitt | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2006-01-06 |
| 1326693789 | Shelby Midkiff | Physical Therapist | 935 S Main St, Farmville, VA 23901-2211 | 2019-08-02 |
| 1295389849 | Carly Elizabeth Haddock | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2019-07-31 |
| 1528508785 | Sarah Parker | Speech-Language Pathologist | 935 S Main St, Farmville, VA 23901-2211 | 2017-03-06 |
| 1750825634 | Michael Wilson | Physical Therapist | 935 S Main St, Farmville, VA 23901 | 2016-12-12 |
| 1013376011 | Heather Margaret Bailey | Nurse Practitioner | 935 S Main St, Farmville, VA 23901-2211 | 2016-02-18 |
| 1588022313 | Dion Glenn Tomer | Nurse Practitioner | 935 S Main St, Farmville, VA 23901-2211 | 2016-02-08 |
| 1073996849 | Grace Esare-nkrumah | Pediatrics | 935 S Main St, Farmville, VA 23901-2211 | 2015-06-29 |
| 1811397730 | Supriya Mannepalli | Family Medicine | 935 S Main St, Farmville, VA 23901 | 2014-08-27 |
| 1669886578 | Courtney M. Subudhi | Nurse Practitioner | 935 S Main St, Farmville, VA 23901-2211 | 2014-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164461562 | Shashidharan B Ayer | Internal Medicine | 1801 E 3rd St, Farmville, VA 23901-2905 | 2006-06-04 |
| 1457665622 | Atul Bali | Internal Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2010-07-29 |
| 1023020195 | Shashi Ayer Md PC | Internal Medicine | 1801 E 3rd St, Farmville, VA 23901-2905 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416522 | Southwest Virginia Nephrology LLC | Internal Medicine | 4806 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3440 | 2018-11-16 |
| 1780081059 | Belen Nunez | Internal Medicine | 3400 S Crater Rd Ste B, Petersburg, VA 23805-9252 | 2014-12-02 |
| 1770903585 | Salah-ud-din Amjad | Internal Medicine | 480 W Jubal Early Dr Ste 200, Winchester, VA 22601 | 2014-04-19 |
| 1699012005 | Barry S. Strauch | Internal Medicine | 1468 Evans Farm Dr, Mc Lean, VA 22101-5652 | 2013-01-07 |
| 1770858847 | Amanda D. Renaghan | Internal Medicine | 199 Spotnap Rd Ste 1, Charlottesville, VA 22911-8827 | 2012-03-21 |
| 1952671067 | Sumeyye Calp Inal | Internal Medicine | 739 Thimble Shoals Blvd Ste 801, Newport News, VA 23606 | 2012-01-05 |
| 1598080186 | Vineet Kumaar Jassal | Internal Medicine | 3930 Walnut St Ste 101, Fairfax, VA 22030-4750 | 2010-04-07 |
| 1538497698 | James Macleod Cox | Internal Medicine | 4222 Coles Point Way, Glen Allen, VA 23060-7242 | 2009-12-01 |
| 1568625408 | Mahesh Krishnan | Internal Medicine | 1371 Lancia Dr, Mc Lean, VA 22102-2230 | 2008-07-09 |
| 1194907527 | Usama Taha Hussein | Internal Medicine | 1800 Camelot Dr Ste 401, Virginia Beach, VA 23454-2440 | 2007-11-27 |
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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.