Healthcare Provider Details

I. General information

NPI: 1871557512
Provider Name (Legal Business Name): PARISA RAZI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N VAN DORN ST STE 102
ALEXANDRIA VA
22302-1601
US

IV. Provider business mailing address

2500 N VAN DORN ST STE 102
ALEXANDRIA VA
22302-1601
US

V. Phone/Fax

Practice location:
  • Phone: 703-933-0555
  • Fax: 703-933-0999
Mailing address:
  • Phone: 703-933-0555
  • Fax: 703-933-0999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA06837400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: