Maryam M Nowroozi, MD | |
4106 Portsmouth Blvd, Portsmouth, VA 23701 | |
(757) 393-1136 | |
(757) 698-2499 |
Full Name | Maryam M Nowroozi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 4106 Portsmouth Blvd, Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306807201 | NPI | - | NPPES |
010221871 | Medicaid | VA | |
186909 | Other | VA | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101233196 (Virginia) | Primary |
Entity Name | Jencare Neighborhood Medical Norfolk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184918864 PECOS PAC ID: 8820268477 Enrollment ID: O20110908002311 |
Entity Name | Jencare Neighborhood Medical New Market, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568756948 PECOS PAC ID: 2860652823 Enrollment ID: O20120328000803 |
Entity Name | Jencare Neighborhood Medical Center Virginia Beach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770924789 PECOS PAC ID: 8921236167 Enrollment ID: O20140114001303 |
Mailing Address | Practice Location Address |
---|---|
Maryam M Nowroozi, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Maryam M Nowroozi, MD 4106 Portsmouth Blvd, Portsmouth, VA 23701 Ph: (757) 393-1136 |
Dr. Imtiaz Zaman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally G Tamayo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |