Healthcare Provider Details

I. General information

NPI: 1285787150
Provider Name (Legal Business Name): HIRAD NAJAFBAGY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 METRO CENTER DR STE 100
RESTON VA
20190-5289
US

IV. Provider business mailing address

1886 METRO CENTER DR STE 100
RESTON VA
20190-5289
US

V. Phone/Fax

Practice location:
  • Phone: 703-437-8195
  • Fax: 703-437-2404
Mailing address:
  • Phone: 703-437-8195
  • Fax: 703-437-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104002895
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number0104001895
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: