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NPI Code Detail

MEDICARE: DR. ALI N. MESBAHI M.D.

MEDICARE: DR. ALI N. MESBAHI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician0101239449VA

General Provider Information

NPI Number : 1093988032
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI N. MESBAHI M.D.
Provider Business Mailing Address
First Line : 7601 LEWINSVILLE RD 400
Second Line :
City : MCLEAN
State : VA
Zip : 22102-2834
Country : US
Telephone Number : 703-287-8277
Fax Number :
Provider Business Practice Location Address
First Line : 7601 LEWINSVILLE RD 400
Second Line :
City : MCLEAN
State : VA
Zip : 22102-2834
Country : US
Telephone Number : 703-287-8277
Fax Number : 703-287-8278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 12/14/2015

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