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NPI Code Detail

MEDICARE: SAEID MOVAHEDI-LANKARANI MD

MEDICARE: SAEID MOVAHEDI-LANKARANI 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD61283MD
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101259509VA

General Provider Information

NPI Number : 1306807557
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAEID MOVAHEDI-LANKARANI MD
Provider Business Mailing Address
First Line : 3300 GALLOWS RD
Second Line : INOVA FAIRFAX MEDICAL CAMPUS - DEPARTMENT OF PATHOLOGY
City : FALLS CHURCH
State : VA
Zip : 22042-3307
Country : US
Telephone Number : 703-776-3441
Fax Number : 703-776-3110
Provider Business Practice Location Address
First Line : 3300 GALLOWS RD
Second Line : INOVA FAIRFAX MEDICAL CAMPUS - DEPARTMENT OF PATHOLOGY
City : FALLS CHURCH
State : VA
Zip : 22042-3307
Country : US
Telephone Number : 703-776-3441
Fax Number : 703-776-3110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 06/28/2016

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