DR. REZA KHAN OMARZAI (NPI# 1821016288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821016288 |
Entity Type | Individual |
Full Name | DR. REZA KHAN OMARZAI |
Credential | M.D. |
Practice Address |
4700 Puddledock Rd 400 Prince George VA 23875-1268 |
Mailing Address |
8001 Franklin Farms Dr Suite 130 Richmond VA 23229-5108 |
Practice Telephone | 8044581740 |
Practice Fax Number | 8045411846 |
Mailing Telephone | 8045215800 |
Mailing Fax Number | 8045454340 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2014-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101057678 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | UNITED HEALTHCARE | 25-00848 | 01 |
VA | MAMSI | 258991 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 276236 | 01 |
VA | AETNE/US HEALTHCARE | 5105601 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 276206 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 276255 | 01 |
VA | RAILROAD MEDICARE | 60050394 | 01 |
VA | SOUTHERN HEALTH SERVICES | 82965 | 01 |
VI | CIGNA | 2013957 | 01 |
VA | FEDERAL BLACK LUNG | 27413300 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 276362 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 103784 | 01 |
VA | ANTHEM/VA HEALTHKEEPERS | 204685 | 01 |
VA | 5814961 | 05 | |
VA | AETNE/US HEALTHCARE HMO | 2035202 | 01 |
VA | SENTARA HEALTH/OPTIMA | 23219 | 01 |
Street Address |
4700 PUDDLEDOCK RD 400 |
City | PRINCE GEORGE |
State | VA |
Zip Code | 23875-1268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912955451 | Michael J Bunda | Internal Medicine | 4700 Puddledock Rd, 400, Prince George, VA 23875-1268 | 2006-05-05 |
1366962052 | Takara Joy Figueroa | Nurse Practitioner | 4700 Puddledock Rd, Prince George, VA 23875-1268 | 2017-06-22 |
1992050983 | Lisa Michelle Haynes | Nurse Practitioner | 4700 Puddledock Rd, Suite 400, Prince George, VA 23875-1237 | 2012-07-17 |
1477864841 | Karen Saunders | Nurse Practitioner | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 2010-06-30 |
1073749461 | Lesli Antoinette Brown | Family Medicine | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 2009-05-31 |
1316129893 | Lisa C Shah | Family Medicine | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 2007-11-27 |
1558564161 | Khin Kyaw Kyaw Thein | Family Medicine | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 2007-06-10 |
1063434082 | Jiho Joseph Han | Internal Medicine | 4700 Puddledock Rd, 400, Prince George, VA 23875-1268 | 2006-07-25 |
1023037165 | Christopher W Ogburn | Family Medicine | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
1932534864 | Foundation for Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 Montreal Ave., Prince George, VA 23875 | 2013-09-11 |
1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
1598173155 | Divine Spine Chiropractic | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875 | 2014-07-28 |
1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
Find all providers in zip 23875 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1386900397 | Vivak Mahendra Master | Internal Medicine | 4700 Puddledock Rd Ste 400, Prince George, VA 23875-1268 | 2012-04-03 |
1912955451 | Michael J Bunda | Internal Medicine | 4700 Puddledock Rd, 400, Prince George, VA 23875-1268 | 2006-05-05 |
1063434082 | Jiho Joseph Han | Internal Medicine | 4700 Puddledock Rd, 400, Prince George, VA 23875-1268 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
Find all providers with the same taxonomy |
City | PRINCE GEORGE |
Zip Code | 23875 |
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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.