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M. HOSSEIN RAZAVI MD PC NPI 1598874745


NPI Information

NPI: 1598874745
Provider Name: M. HOSSEIN RAZAVI, MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14904 JEFFERSON DAVIS HWY STE 103
SUITE 103
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 497-4222
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M. HOSSEIN RAZAVI, MD PC is a specialist in Woodbridge, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. M. HOSSEIN RAZAVI, MD PC NPI is 1598874745. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14904 JEFFERSON DAVIS HWY STE 103
SUITE 103
WOODBRIDGE, VA
ZIP 22191-908
Phone: (703) 497-4222
Fax: (703) 492-0164

The provider's authorized official is Mohammad Hossein Razavi .
The authorized official title is Owner and has the following contact phone number (703) 497-4222.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101049080VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100000286MEDICARE PINVIRGINIA
2006077871MEDICAIDVIRGINIA
3F23907MEDICARE UPINVIRGINIA
4RA068221MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.