Provider Demographics
NPI:1194784298
Name:NAZMY, WALEED NABIL (MD)
Entity type:Individual
Prefix:DR
First Name:WALEED
Middle Name:NABIL
Last Name:NAZMY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 ROLLING HILLS DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5011
Mailing Address - Country:US
Mailing Address - Phone:804-353-0023
Mailing Address - Fax:804-353-0773
Practice Address - Street 1:1601 ROLLING HILLS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5011
Practice Address - Country:US
Practice Address - Phone:804-353-0023
Practice Address - Fax:804-353-0773
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012303482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH57076Medicare UPIN
VA00W467W01Medicare PIN