Shareghi, Khosro

Shareghi, Khosro is an individual health care provider with primary practice located at 2200 Opitz Blvd Suite 310, Woodbridge VA 22191-3321. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shareghi, Khosro can be contacted via phone (703) 494-5995.

Contact Information

Primary practice address
2200 Opitz Blvd Suite 310 Woodbridge VA 22191-3321
Phone: (703) 494-5995
Fax: (703) 491-9153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101042990 Virginia

Profile Details

NPI number 1093703076
LBN Legal business name Shareghi, Khosro
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 22nd, 2013 - about 12 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 1093703076 NPPES
Virginia Other 028690 ANTHEM VIRGINIA
Virginia Other 028689 ANTHEM VIRGINIA
Virginia Other 541739580 ANTHEM VIRGINIA
Virginia Other 60-2983-3 ANTHEM VIRGINIA
Virginia Other 1475-0001 ANTHEM VIRGINIA
Virginia MEDICAID 006029833 ANTHEM VIRGINIA
Virginia Other 4252028 ANTHEM VIRGINIA

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