Basic Information
Provider Information
NPI: 1962760256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMSHID
FirstName: ARROSSA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P O BOX 388
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 22939
CountryCode: US
TelephoneNumber: 5409324075
FaxNumber: 5409325199
Practice Location
Address1: 78 MEDICAL CENTER DR
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 229392332
CountryCode: US
TelephoneNumber: 5403325162
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2012
LastUpdateDate: 06/06/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101258972VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X0101258972VAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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