Provider Demographics
NPI:1891787354
Name:NAZMI, PEYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PEYMAN
Middle Name:
Last Name:NAZMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 PUMP RD
Mailing Address - Street 2:#160
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1111
Mailing Address - Country:US
Mailing Address - Phone:804-378-1800
Mailing Address - Fax:804-378-5400
Practice Address - Street 1:14404 SOMMERVILLE CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6835
Practice Address - Country:US
Practice Address - Phone:804-378-1800
Practice Address - Fax:804-378-5400
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052340208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0347059006OtherCIGNA
391909OtherMAMSI
137370OtherSOUTHERN HEALTH
VA259644OtherANTHEM BLUE CROSS BLUE SH
1898252OtherFIRST HEALTH
7995263OtherAETNA
VAG59672Medicare UPIN
391909OtherMAMSI
VA00W369T02Medicare ID - Type Unspecified
137370OtherSOUTHERN HEALTH