Healthcare Provider Details

I. General information

NPI: 1932157187
Provider Name (Legal Business Name): ZOHEIR J KAISER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N THOMAS ST
SOUTH HILL VA
23970-1422
US

IV. Provider business mailing address

PO BOX 236 606 NORTH THOMAS STREET
SOUTH HILL VA
23970-0236
US

V. Phone/Fax

Practice location:
  • Phone: 434-447-3060
  • Fax: 434-447-3064
Mailing address:
  • Phone: 434-447-3060
  • Fax: 434-447-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number0101040560
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: