Khosravi, Mitra

Khosravi, Mitra is an individual health care provider with primary practice located at 7800 Sudley Rd , Manassas VA 20109-2804. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Khosravi, Mitra can be contacted via phone (703) 367-0599.

Contact Information

Primary practice address
7800 Sudley Rd Manassas VA 20109-2804
Phone: (703) 367-0599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40140312 Virginia

Profile Details

NPI number 1689727950
LBN Legal business name Khosravi, Mitra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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