Mortazavi, Ala Sayed

Mortazavi, Ala Sayed is an individual health care provider with primary practice located at 2028 Opitz Blvd. Suite B, Woodbridge VA 22191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mortazavi, Ala Sayed can be contacted via phone (703) 497-0212.

Contact Information

Primary practice address
2028 Opitz Blvd. Suite B Woodbridge VA 22191
Phone: (703) 497-0212
Fax: (703) 497-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101047023 Virginia

Profile Details

NPI number 1306812870
LBN Legal business name Mortazavi, Ala Sayed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 12th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306812870 NPPES
Virginia MEDICAID 005813166
Virginia Other 290012157
Virginia Other 290011028

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