Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 0101235936 | VA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 35-094710 | OH |
NPI | 1083625040 |
---|---|
Provider Name | Jamshid Alaeddini |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23606-2565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 27/06/2017 |