| Doctor Name: | SIMIN VAKILY ASL |
| NPI Number: | 1174785497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 0116018443 |
| Business Practice Address: | 6161 Kempsville Cir Suite 225 Norfolk, VA - 235023932 |
| Business Phone Number: | 7574556368 |
| Business Fax Number: | 7574556686 |
| Mailing Address: | Po Box 7068, PORTSMOUTH |
| State: | VA |
| Postal Code: | 237070068 |
| Phone Number: | 7576863508 |
| Fax Number: | 7576860541 |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 0116018443 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |