Individual provider · NPI-1

Neeki Ahmadi, PA

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number1871301408
StatusActive
Last updated in NPPESDec 30, 2024

Details

NPI
1871301408
Entity type
Individual (NPI-1)
Name
Neeki Ahmadi
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 30, 2024
Certification date
Dec 29, 2024
Last updated
Dec 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

825 Fairfax Ave
Norfolk, VA 23507-1912

Phone 757-446-5600

Mailing address

825 Fairfax Ave
Norfolk, VA 23507-1912

Phone 757-446-5600

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