Provider Demographics
NPI:1932758331
Name:KARIMIANPOUR, ROXANA (MD, DC, CAC)
Entity Type:Individual
Prefix:
First Name:ROXANA
Middle Name:
Last Name:KARIMIANPOUR
Suffix:
Gender:F
Credentials:MD, DC, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 STILL MEADOW CV
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-6202
Mailing Address - Country:US
Mailing Address - Phone:540-664-9970
Mailing Address - Fax:
Practice Address - Street 1:1506 STILL MEADOW CV
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-6202
Practice Address - Country:US
Practice Address - Phone:540-664-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty