Tavallali, Morad
Tavallali, Morad is an sole proprietor health care provider with primary practice located at 8245 Boone Blvd Suite 540, Vienna VA 22182-3828. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tavallali, Morad can be contacted via phone (703) 876-9400.Contact Information
Primary practice address
8245 Boone Blvd Suite 540
Vienna VA 22182-3828
Phone: (703) 876-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101049018 | Virginia |
Profile Details
| NPI number | 1356435515 |
|---|---|
| LBN Legal business name | Tavallali, Morad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 26th, 2013 - 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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