Healthcare Provider Details

I. General information

NPI: 1982673281
Provider Name (Legal Business Name): ASSUDULLA ZIAYEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 E JUBAL EARLY DR
WINCHESTER VA
22601-5178
US

IV. Provider business mailing address

607 E JUBAL EARLY DR
WINCHESTER VA
22601-5178
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-2232
  • Fax: 540-536-7681
Mailing address:
  • Phone: 540-536-2232
  • Fax: 540-536-7681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101050000
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: