Healthcare Provider Details
I. General information
NPI: 1922000132
Provider Name (Legal Business Name): AKHTAR PURVEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/01/2005
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2335 SEMINOLE LN STE 500
CHARLOTTESVILLE VA
22901-8304
US
IV. Provider business mailing address
2335 SEMINOLE LN STE 500
CHARLOTTESVILLE VA
22901-8304
US
V. Phone/Fax
- Phone: 434-328-2774
- Fax: 434-328-2776
- Phone: 434-328-2774
- Fax: 434-328-2776
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 0101232914 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: