Healthcare Provider Details

I. General information

NPI: 1831592369
Provider Name (Legal Business Name): ONAIZA ANEES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2014
Last Update Date: 07/21/2022
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 LANGHORNE RD
LYNCHBURG VA
24501-1121
US

IV. Provider business mailing address

2215 LANGHORNE RD
LYNCHBURG VA
24501-1121
US

V. Phone/Fax

Practice location:
  • Phone: 434-948-4858
  • Fax:
Mailing address:
  • Phone: 434-948-4858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101262103
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101262103
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number01082776A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: