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Deactivated NPI 1255576013 Deactivated / Inactive NPI Male Practitioner

Dr. Mahmood Panbehchi , MD

General Practice • Williamsburg, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mahmood Panbehchi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2008
NPI Deactivation Date April 12, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mahmood Panbehchi, MD was a registered General Practice practicing in Williamsburg, VA. Throughout an active medical career spanning 15 years, Dr. Panbehchi provided care at the practice location at 4601 IRONBOUND RD until profile deactivation on 2023-04-12.

Practice Location & Contact Primary Location

Practice Address

4601 Ironbound Rd

Williamsburg, VA 231882648

Telephone 7572534309
Fax 7572534625
Associated Practice Facility / Clinic
🏢 Eastern State Hospital Facility NPI 1861490344

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Williamsburg, VA (440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101019005

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lorabel Laurel , CPHT

Pharmacist - Psychiatric

NPI 1003817891

Certified Pharmacy Technician

Dr. Harold Jones , MD

Internal Medicine

NPI 1003899964

Doctor of Medicine (M.D.)

Julie Andrews

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023887411
NPI 1053312793

PHARMACYTECHNICIAN

Dr. Brittany Bak , PsyD

Psychologist - Forensic

NPI 1083263768

Doctor of Psychology (Psy.D.)

Shiny Chacko

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1093668659

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

NPI Profile Active December 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2008

Registered at 4601 IRONBOUND RD, WILLIAMSBURG, VA 231882648 (Tel: 7572534309)

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Updated Business Mailing Address December 09, 2008

Registered at 5 MILE CRSE, WILLIAMSBURG, VA 231855525 (Tel: 7572534309)

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Provider Name / Credentials Updated December 09, 2008

Recorded as MAHMOOD PANBEHCHI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2008

General Practice (License #0101019005 in VA)

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Initial NPI Registration & Enumeration December 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255576013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2008
Last Update: December 09, 2008
Deactivation Date: April 12, 2023

Mailing Address

5 Mile Crse

Williamsburg, VA 231855525

Phone: 7572534309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.