Bajoghli, Mehran

Bajoghli, Mehran is an individual health care provider with primary practice located at 1570 Onyx Dr Unit 305 , Mc Lean VA 22102-3957. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bajoghli, Mehran can be contacted via phone (703) 244-9117.

Contact Information

Primary practice address
1570 Onyx Dr Unit 305 Mc Lean VA 22102-3957
Phone: (703) 244-9117
Fax: (571) 200-2618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 07395 Virginia
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0101231597 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101231597 Virginia

Profile Details

NPI number 1699868786
LBN Legal business name Bajoghli, Mehran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 24th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699868786 NPPES
Virginia MEDICAID 30016041500017
Virginia Other 6B8333

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