Mousavi, Morteza S
Mousavi, Morteza S is an sole proprietor health care provider with primary practice located at 2296 Opitz Blvd Suite 340, Woodbridge VA 22191-3300. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mousavi, Morteza S can be contacted via phone (703) 878-0941.Contact Information
Primary practice address
2296 Opitz Blvd Suite 340
Woodbridge VA 22191-3300
Phone: (703) 878-0941
Fax: (703) 878-0857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101033951 | Virginia |
Profile Details
| NPI number | 1861442055 |
|---|---|
| LBN Legal business name | Mousavi, Morteza S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861442055 | NPPES |
| Virginia | Other | 060002093 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 006033989 | MEDICARE RAILROAD |
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