Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401411858 | VA |
Y | 213EG0000X | General Practice | 0401411858 | VA |
NPI | 1003066317 |
---|---|
Provider Name | Parinaz Movaghari |
First Address | Herndon, VA 20170-3868 |
Second Address | Herndon, VA 20170-3868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 17/08/2010 |