MEDICARE: DR. WALEED NABIL NAZMY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	0101230348	VA

General Provider Information

NPI Number	:	1194784298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALEED NABIL NAZMY MD

Provider Business Mailing Address
First Line	:	1601 ROLLING HILLS DR
Second Line	:	SUITE 104
City	:	RICHMOND
State	:	VA
Zip	:	23229-5011
Country	:	US
Telephone Number	:	804-353-0023
Fax Number	:	804-353-0773

Provider Business Practice Location Address
First Line	:	1601 ROLLING HILLS DR
Second Line	:	SUITE 104
City	:	RICHMOND
State	:	VA
Zip	:	23229-5011
Country	:	US
Telephone Number	:	804-353-0023
Fax Number	:	804-353-0773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	03/20/2008

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