Provider Demographics
NPI:1790234276
Name:INFECTIOUS DISEASES & EPIDEMIOLOGY PC
Entity Type:Organization
Organization Name:INFECTIOUS DISEASES & EPIDEMIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIR
Authorized Official - Middle Name:AKBAR
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-446-1959
Mailing Address - Street 1:411 W RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2938
Mailing Address - Country:US
Mailing Address - Phone:804-446-1959
Mailing Address - Fax:804-452-7500
Practice Address - Street 1:411 W RANDOLPH RD
Practice Address - Street 2:SUITE 300 - INFECTIOUS DISEASES & EPIDEMIOLOGY
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2938
Practice Address - Country:US
Practice Address - Phone:804-446-1959
Practice Address - Fax:804-452-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259856207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty