Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101044185 | VA |
N | 208600000X | Surgeon | 0101044185 | VA |
N | 2082S0105X | Plastic Hand Surgeon | 0101044185 | VA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 0101044185 | VA |
NPI | 1073537635 |
---|---|
Provider Name | Dr. Saeed Marefat |
First Address | Woodbridge, VA 22191-4016 |
Second Address | Woodbridge, VA 22191-4016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F26073 | (02) | VA |