DR. TAREQ MASSIMI M.D. NPI 1962660936

NPI Information

NPI: 1962660936
Provider Name: DR. TAREQ MASSIMI, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
7723 SPOLETO LN
MC LEAN, VA
ZIP 22102
Phone: (413) 885-6942
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DR. Tareq Massimi, M.D. is a vascular surgery surgery in Mc Lean, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Tareq Massimi, M.D. NPI is 1962660936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7723 SPOLETO LN
MC LEAN, VA
ZIP 22102-787
Phone: (413) 885-6942

The NPI 1962660936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 8/17/2021.

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
1	208600000X	Surgery		233575	MASSACHUSETTS	No
2	2086S0129X	Surgery	Vascular Surgery	247016	MASSACHUSETTS	Yes
3	2086S0129X	Surgery	Vascular Surgery	102688	DISTRICT OF COLUMBIA	No

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
1	-	OTHER		-

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

NPI Synchronization or Removal

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