Provider Demographics
NPI:1225712714
Name:BERMAN, RAZI (NP)
Entity Type:Individual
Prefix:
First Name:RAZI
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 E MARKET ST STE D
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4116
Mailing Address - Country:US
Mailing Address - Phone:301-427-1070
Mailing Address - Fax:301-428-3192
Practice Address - Street 1:531 E MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4116
Practice Address - Country:US
Practice Address - Phone:301-427-1070
Practice Address - Fax:301-428-3192
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184033363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology