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NPI Code Detail

MEDICARE: MITRA ESHGHI

MEDICARE: MITRA ESHGHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202211058VA

General Provider Information

NPI Number : 1720337850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITRA ESHGHI
Provider Business Mailing Address
First Line : 4620 PAUL REVERE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-4837
Country : US
Telephone Number : 757-681-3331
Fax Number :
Provider Business Practice Location Address
First Line : 2981 S MILITARY HWY
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23323-5810
Country : US
Telephone Number : 757-558-9830
Fax Number : 757-558-9835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 05/28/2026

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Directions to “ MITRA ESHGHI ” Practice Location

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