Khoshnevisan, Mohammad Ali

Khoshnevisan, Mohammad Ali is an individual health care provider with primary practice located at 1860 Town Center Dr Ste 300 , Reston VA 20190-5900. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Khoshnevisan, Mohammad Ali can be contacted via phone (703) 435-6605.

Contact Information

Primary practice address
1860 Town Center Dr Ste 300 Reston VA 20190-5900
Phone: (703) 435-6605
Fax: (703) 662-4506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 0101272648 Virginia

Profile Details

NPI number 1427445634
LBN Legal business name Khoshnevisan, Mohammad Ali
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2015
Last updated Nov 12th, 2021 - about 4 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.

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