Mitra Hafezi
General Practice Physician
6305 Castle Pl
Falls Church
, Virginia 22044-1905
Mitra Hafezi
General Practice Physician
6305 Castle Pl
Falls Church
, Virginia 22044-1905
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mitra Hafezi
- 25256 Planting Field Dr
- Chantilly, VA
- Zip : 20152-4459
- Phone :
Second Address
- Mitra Hafezi
- 6305 Castle Pl
- Falls Church, VA
- Zip : 22044-1905
- Phone : (301) 441-4400
Reviews
FAQs
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What type of doctor is Mitra Hafezi
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 0101266035 | VA |
National Provider Identifier
| NPI | 1043877111 |
|---|---|
| Provider Name | Mitra Hafezi |
| First Address | Chantilly, VA 20152-4459 |
| Second Address | Falls Church, VA 22044-1905 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2019 |
| Last Update Date | 17/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.