Provider Demographics
NPI:1255594271
Name:ISMAELI-CAMPBELL, ATTIYAH TAYSEER (MD)
Entity type:Individual
Prefix:
First Name:ATTIYAH
Middle Name:TAYSEER
Last Name:ISMAELI-CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 RIVER WALK PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6893
Mailing Address - Country:US
Mailing Address - Phone:757-983-1777
Mailing Address - Fax:757-507-9043
Practice Address - Street 1:213 RIVER WALK PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-983-1777
Practice Address - Fax:757-507-9043
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101245597207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine