Doctor Name: | MR. MOSTAFA MAGHZIAN |
NPI Number: | 1770899361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1036982 |
Business Practice Address: | 2930 Chain Bridge Rd Suite 111 Oakton, VA - 22124 |
Business Phone Number: | 7033197972 |
Business Fax Number: | 7033193903 |
Mailing Address: | 2930 Chain Bridge Rd, Suite 111 OAKTON |
State: | VA |
Postal Code: | 221243041 |
Phone Number: | 7033197972 |
Fax Number: | 7033193903 |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 08/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1036982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |