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NPI Code Detail

MEDICARE: REZA MIRALI AKBARI MD

MEDICARE: REZA MIRALI AKBARI MD
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
12086S0122XPlastic and Reconstructive Surgery PhysicianMD419548PA
22086S0122XPlastic and Reconstructive Surgery Physician0101243338VA

General Provider Information

NPI Number : 1437115987
Entity Type Code : Individual
Provider Name (Legal Business Name) : REZA MIRALI AKBARI MD
Provider Business Mailing Address
First Line : 8501 ARLINGTON BLVD 310
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4625
Country : US
Telephone Number : 703-645-0077
Fax Number : 703-645-0130
Provider Business Practice Location Address
First Line : 3289 WOODBURN RD
Second Line : SUITE 245
City : ANNANDALE
State : VA
Zip : 22003-6800
Country : US
Telephone Number : 703-645-0077
Fax Number : 866-724-2075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 11/18/2015

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Directions to “ REZA MIRALI AKBARI MD” Practice Location

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