Razavi, Mohammad Hossein

Razavi, Mohammad Hossein is an sole proprietor health care provider with primary practice located at 14904 Jefferson Davis Hwy Suite #103, Woodbridge VA 22191-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Razavi, Mohammad Hossein can be contacted via phone (703) 497-4222.

Contact Information

Primary practice address
14904 Jefferson Davis Hwy Suite #103 Woodbridge VA 22191-3908
Phone: (703) 497-4222
Fax: (703) 492-0164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101049080 Virginia

Profile Details

NPI number 1639167661
LBN Legal business name Razavi, Mohammad Hossein
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Mar 9th, 2010 - about 15 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 1639167661 NPPES
Virginia MEDICAID 006077871

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