Healthcare Provider Details

I. General information

NPI: 1023948569
Provider Name (Legal Business Name): AZAM ALAMDARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LEIGH STREET, AOP 14TH FLOOR
RICHMOND VA
23219
US

IV. Provider business mailing address

1001 LEIGH STREET, AOP 14TH FLOOR
RICHMOND VA
23219
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-8683
  • Fax: 804-828-7567
Mailing address:
  • Phone: 804-828-8683
  • Fax: 804-828-7567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: