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General NPI Number Information
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NPI Number | 1437115987
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Entity Type | Individual
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Provider Name | REZA MIRALI AKBARI MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 3289 WOODBURN RD SUITE 245
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City | ANNANDALE
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State | VA
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Zip | 22003-6800
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Country | US
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Telephone | 703-645-0077
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Fax | 866-724-2075
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Provider Business Mailing Address
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Address Line | 8501 ARLINGTON BLVD 310
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City | FAIRFAX
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State | VA
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Zip | 22031-4625
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Country | US
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Telephone | 703-645-0077
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Fax | 703-645-0130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD419548
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 0101243338
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License Number State | VA
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