1922000132 NPI number — DR. AKHTAR PURVEZ M.D.

Table of content: DR. AKHTAR PURVEZ M.D. (NPI 1922000132)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922000132 NPI number — DR. AKHTAR PURVEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PURVEZ
Provider First Name:
AKHTAR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922000132
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2335 SEMINOLE LN STE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTESVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22901-8304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-328-2774
Provider Business Mailing Address Fax Number:
434-328-2776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2335 SEMINOLE LN STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22901-8304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-328-2774
Provider Business Practice Location Address Fax Number:
434-328-2776
Provider Enumeration Date:
06/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X , with the licence number:  0101232914 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 203639329 . This is a "TRICARE PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203639329 . This is a "UNITED HEALTHCARE PROVIDE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010216192 . This is a "VA PREMIER PROVIDER NUMBE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 58228 . This is a "SENTARA/OPTIMA PROVIDER N" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203639329 . This is a "PCHP PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1442396001 . This is a "CIGNA PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 186276 . This is a "ANTHEM PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010216192 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 329086 . This is a "SOUTHERN HEALTH PROVIDER" identifier . This identifiers is of the category "OTHER".




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