Provider Demographics
NPI:1700811296
Name:NIZAMI, APRIL SWIFT (DPM)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:SWIFT
Last Name:NIZAMI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 OLD RICHMOND AVE
Mailing Address - Street 2:SUITE E24
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1828
Mailing Address - Country:US
Mailing Address - Phone:804-443-6400
Mailing Address - Fax:804-282-5223
Practice Address - Street 1:5700 OLD RICHMOND AVE
Practice Address - Street 2:SUITE E24
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1828
Practice Address - Country:US
Practice Address - Phone:804-443-6400
Practice Address - Fax:804-282-5223
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300966213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010332869Medicaid
VA010332869Medicaid
VA014899R47Medicare PIN