Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 0104001895 | VA |
NPI | 1285787150 |
---|---|
Provider Name | Dr. Hirad Najafbagy |
First Address | Herndon, VA 20170-5536 |
Second Address | Herndon, VA 20170-5536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/10/2009 |