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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 0101056724 | VA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | 0101056724 | VA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
ID | Type | State | Issuer | Description | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | PAR | 01 | VA | MULTIPLAN | OTHER | 441459 | 01 | VA | BCBS | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | -001 | 01 | VA | CHAMPUS/TRICARE | OTHER | 389259 | 01 | VA | UNITED HEALTH CARE/MAMSI | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | OTHER | 005857848 | 05 | VA |   | MEDICAID | 064JC | 01 | NC | BCBS | OTHER | 89064JC | 05 | NC |   | MEDICAID | 39469 | 01 | VA | OPTIMA/SENTARA | OTHER | PAR | 01 | VA | CIGNA | OTHER | PAR | 01 | VA | AETNA | OTHER | PAR | 01 | VA | VA HEALTH NETWORK/PHCS | OTHER | 462081 | 01 | VA | ANTHEM BC/BS VA HK | OTHER | 70765 | 01 | VA | SENTARA OHP/SHP | OTHER | 010067235 | 05 | VA |   | MEDICAID | PAR | 01 | VA | USA MANAGED CARE | OTHER |