Most Relevant Information
Provider Data
| NPI Number: | 1003677709 |
| Provider Name: | IRUJ HUMAYUN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0704015827 |
Most Important Dates
| Enumeration Date: | 01/19/2024 |
| Last Updated: | 01/19/2024 |
Provider Practice Location
3235 ELECTRIC RD STE 1A
ROANOKE
VA
240186404
Practice Location Phone/Fax
| Phone: | 8552847483 |
| Fax: | 6178070958 |
Provider Mailing Location
PO BOX 748465
ATLANTA
GA
303748465
Provider Mailing Phone/Fax
| Phone: | 8552847483 |
| Fax: | 6178070958 |