| Doctor Name: | HASSAN MOHAGHEGHI |
| NPI Number: | 1053436451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101030950 |
| Business Practice Address: | 3701 Boulevard Suite H Colonial Heights, VA - 238341339 |
| Business Phone Number: | 8045208932 |
| Business Fax Number: | |
| Mailing Address: | 3701 Boulevard, Suite H COLONIAL HEIGHTS |
| State: | VA |
| Postal Code: | 238341339 |
| Phone Number: | 8045208932 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 01/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 0101030950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |