Healthcare Provider Details

I. General information

NPI: 1073537635
Provider Name (Legal Business Name): SAEED MAREFAT M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14908 JEFFERSON DAVIS HWY
WOODBRIDGE VA
22191-4016
US

IV. Provider business mailing address

14908 JEFFERSON DAVIS HWY
WOODBRIDGE VA
22191-4016
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-9583
  • Fax: 703-490-5782
Mailing address:
  • Phone: 703-560-9583
  • Fax: 703-490-5782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101044185
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number0101044185
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101044185
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: