Mazahery, Behrang T

Mazahery, Behrang T is an individual health care provider with primary practice located at 1850 Town Center Pkwy Suite 400, Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mazahery, Behrang T can be contacted via phone (703) 810-5202.

Contact Information

Primary practice address
1850 Town Center Pkwy Suite 400 Reston VA 20190-3219
Phone: (703) 810-5202
Fax: (703) 810-5420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 101239710 Virginia

Profile Details

NPI number 1225051295
LBN Legal business name Mazahery, Behrang T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 28th, 2020 - about 5 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 1225051295 NPPES
Virginia MEDICAID 010273480

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