Zibdeh, Isam T
Zibdeh, Isam T is an individual health care provider with primary practice located at 102 15Th St Nw Suite 301, Norton VA 24273-1616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zibdeh, Isam T can be contacted via phone (276) 679-1624.Contact Information
Primary practice address
102 15Th St Nw Suite 301
Norton VA 24273-1616
Phone: (276) 679-1624
Fax: (276) 679-6011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101029808 | Virginia |
Profile Details
| NPI number | 1629016654 |
|---|---|
| LBN Legal business name | Zibdeh, Isam T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 8th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629016654 | NPPES |
| Virginia | MEDICAID | 1629016654 |
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