Provider Demographics
NPI:1821016288
Name:OMARZAI, REZA KHAN (MD)
Entity type:Individual
Prefix:DR
First Name:REZA
Middle Name:KHAN
Last Name:OMARZAI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:4700 PUDDLEDOCK RD
Practice Address - Street 2:400
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-1268
Practice Address - Country:US
Practice Address - Phone:804-458-1740
Practice Address - Fax:804-541-1846
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-07-09
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Provider Licenses
StateLicense IDTaxonomies
VA0101057678207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA204685OtherANTHEM/VA HEALTHKEEPERS
VA27413300OtherFEDERAL BLACK LUNG
VA276362OtherANTHEM/VA HEALTHKEEPERS
VA23219OtherSENTARA HEALTH/OPTIMA
VA2035202OtherAETNE/US HEALTHCARE HMO
VA276236OtherANTHEM/VA HEALTHKEEPERS
VA60050394OtherRAILROAD MEDICARE
VI2013957OtherCIGNA
VA5814961Medicaid
VA258991OtherMAMSI
VA276255OtherANTHEM/VA HEALTHKEEPERS
VA5105601OtherAETNE/US HEALTHCARE
VA103784OtherANTHEM/VA HEALTHKEEPERS
VA25-00848OtherUNITED HEALTHCARE
VA276206OtherANTHEM/VA HEALTHKEEPERS
VA82965OtherSOUTHERN HEALTH SERVICES
VA276206OtherANTHEM/VA HEALTHKEEPERS
VA25-00848OtherUNITED HEALTHCARE