DR. MEMONA TAZAMAL (NPI# 1669733754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669733754 |
| Entity Type | Individual |
| Full Name | DR. MEMONA TAZAMAL |
| Credential | M.D. |
| Practice Address |
2323 Memorial Ave Suite #10 Lynchburg VA 24501-2661 |
| Practice Telephone | 4342005200 |
| Practice Fax Number | 4342005213 |
| Mailing Telephone | 4342005200 |
| Mailing Fax Number | 4342005213 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 0116024334 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FAMILY MEDICINE | 207QOOOOOX | 01 |
| FAMILY MEDICINE | 207OOOOOX | 01 |
| Street Address |
2323 MEMORIAL AVE SUITE #10 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565677 | Richard Charles Mcfarland | Psychologist | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501 | 2005-06-02 |
| 1770931578 | Pallavi Suvarna | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Lynchburg, VA 24501-2661 | 2016-06-02 |
| 1780064501 | Charles Latham | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2015-06-06 |
| 1124433438 | Vi Tran | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2014-06-25 |
| 1841614088 | Shannon Bishop | Physician Assistant | 2323 Memorial Ave, Lynchburg, VA 24501-2661 | 2014-02-07 |
| 1063858330 | David Yiping Lee | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2013-05-14 |
| 1891057394 | Daniel Matthew Breland | Family Medicine | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | 2012-06-11 |
| 1306130083 | Centra Health Professional Services, LLC | Family Medicine | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | 2011-05-31 |
| 1073805461 | Ghada M Alsayed | Family Medicine | 2323 Memorial Ave, 10, Lynchburg, VA 24501-2661 | 2011-05-04 |
| 1760797096 | Lydia E Mckay | Physician Assistant | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | 2010-08-11 |
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|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1811520141 | Devan Thomas Wise | Student in an Organized Health Care Education/Training Program | 3100 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3972 | 2020-02-14 |
| 1689142010 | Karlie Marie Ennis | Student in an Organized Health Care Education/Training Program | 1900 Weeping Willow Dr Apt F, Lynchburg, VA 24501-3966 | 2018-11-03 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1649718925 | William Samuel Beals | Student in an Organized Health Care Education/Training Program | 1328 Wood Rd, Lynchburg, VA 24502-2658 | 2017-02-07 |
| 1730627019 | Heather Mercy | Student in an Organized Health Care Education/Training Program | 15 Sedgebrook Ct, Apartment 301, Lynchburg, VA 24502-7263 | 2017-02-07 |
| 1811435191 | Taylor Mastin | Student in an Organized Health Care Education/Training Program | 153 New Towne Rd, Lynchburg, VA 24502-4577 | 2017-02-07 |
| 1356892483 | Dalton Barrier | Student in an Organized Health Care Education/Training Program | 350 Lake Forrest Rd, Lynchburg, TN 37352-5991 | 2016-10-24 |
| 1659730406 | Joshua Valentine | Student in an Organized Health Care Education/Training Program | 205 Towne Crier Rd, Lynchburg, VA 24502-4966 | 2016-02-22 |
| 1346865995 | Jared N Smith | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-10 |
| Find all providers in LYNCHBURG | ||||
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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.