IDEAN AMIRJAZIL
Individual Provider (NPI-1)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1356756795- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1880 AMHERST STREET SUITE 100 AND SUITE 200, WINCHESTER, VA, 226016254
- Phone
- (540) 662-0306
- Fax
- (855) 264-2066
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
License: WV #29563
General Acute Care Hospital
License: PA #MT207582
Internal Medicine, Cardiovascular Disease
Primary License: VA #0101268593