Provider Demographics
NPI:1508078635
Name:GARD, NADIA GAAFAR (MD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:GAAFAR
Last Name:GARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:ANN
Other - Last Name:GAAFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4910 VALLEY VIEW BLVD N W
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012
Mailing Address - Country:US
Mailing Address - Phone:540-362-0360
Mailing Address - Fax:540-366-5590
Practice Address - Street 1:4910 VALLEY VIEW BLVD N W
Practice Address - Street 2:SUITE 310
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012
Practice Address - Country:US
Practice Address - Phone:540-362-0360
Practice Address - Fax:540-366-5590
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236618208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics