Khosravi, Hamed

Khosravi, Hamed is an individual health care provider with primary practice located at 2079 Daniel Stuart Sq , Woodbridge VA 22191-3317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Khosravi, Hamed can be contacted via phone (703) 491-5600.

Contact Information

Primary practice address
2079 Daniel Stuart Sq Woodbridge VA 22191-3317
Phone: (703) 491-5600
Fax: (703) 491-1744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101236341 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0061363 Maryland

Profile Details

NPI number 1407802671
LBN Legal business name Khosravi, Hamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 13th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407802671 NPPES
Virginia MEDICAID 010104173
Virginia Other 002138517006
Virginia Other 11350001
Virginia Other 220441
Virginia Other 3818139
Virginia Other 5409063
Virginia Other 7373248
Virginia Other 298274

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