Basic Information
Provider Information
NPI: 1093785842
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALIMARD
FirstName: RAMIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 713 VOLVO PKWY STE 200
Address2:  
City: CHESAPEAKE
State: VA
PostalCode: 233201614
CountryCode: US
TelephoneNumber: 7572824150
FaxNumber: 7575109455
Practice Location
Address1: 713 VOLVO PKWY STE 200
Address2:  
City: CHESAPEAKE
State: VA
PostalCode: 233201614
CountryCode: US
TelephoneNumber: 7572824150
FaxNumber: 7575109455
Other Information
ProviderEnumerationDate: 01/25/2006
LastUpdateDate: 12/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X0101056724VAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X0101056724VAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
PAR01VAVIRGINIA PREMIER HEALTHOTHER
PAR01VAMULTIPLANOTHER
44145901VABCBSOTHER
PAR01VACORVEL/CORCAREOTHER
-00101VACHAMPUS/TRICAREOTHER
38925901VAUNITED HEALTH CARE/MAMSIOTHER
PAR01VAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRYOTHER
00585784805VA MEDICAID
064JC01NCBCBSOTHER
89064JC05NC MEDICAID
3946901VAOPTIMA/SENTARAOTHER
PAR01VACIGNAOTHER
PAR01VAAETNAOTHER
PAR01VAVA HEALTH NETWORK/PHCSOTHER
46208101VAANTHEM BC/BS VA HKOTHER
7076501VASENTARA OHP/SHPOTHER
01006723505VA MEDICAID
PAR01VAUSA MANAGED CAREOTHER


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