Healthcare Provider Details

I. General information

NPI: 1780650143
Provider Name (Legal Business Name): DEBORA ANN MIHALEY-SOBELMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORA ANN MIHALEY-SOBELMAN MD

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 ATHERHOLT RD
LYNCHBURG VA
24501-1106
US

IV. Provider business mailing address

2001 RIVERMONT AVE APT 105
LYNCHBURG VA
24503-4110
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-3000
  • Fax:
Mailing address:
  • Phone: 860-836-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberPENDING
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number037402
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0101269171
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: