Healthcare Provider Details

I. General information

NPI: 1780815738
Provider Name (Legal Business Name): SAIRA THOMPSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAIRA ANIS M.D.

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 S POLLARD ST
VINTON VA
24179-2502
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-983-6700
  • Fax: 540-857-5243
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD447703
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2016-0603
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101265491
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME126142
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: