Healthcare Provider Details
I. General information
NPI: 1609594852
Provider Name (Legal Business Name): MARIA KIRZHNER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2022
Last Update Date: 06/30/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 PETER JEFFERSON PKWY STE 170
CHARLOTTESVILLE VA
22911-8835
US
IV. Provider business mailing address
600 PETER JEFFERSON PKWY STE 170
CHARLOTTESVILLE VA
22911-8835
US
V. Phone/Fax
- Phone: 434-244-8610
- Fax: 434-244-8611
- Phone: 434-244-8610
- Fax: 434-244-8611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARIA
KIRZHNER
Title or Position: PRESIDENT
Credential: MD
Phone: 434-244-8610