MEDICARE: MHC PLLC

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
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0401414453	OTHER	VA	STATE LICENSURE

General Provider Information

NPI Number	:	1780402933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHC PLLC

Provider Business Mailing Address
First Line	:	21000 SOUTHBANK ST STE 102
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-7242
Country	:	US
Telephone Number	:	703-344-7722
Fax Number	:	703-344-7622

Provider Business Practice Location Address
First Line	:	21000 SOUTHBANK ST STE 102
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-7242
Country	:	US
Telephone Number	:	757-742-3384
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOUMAN CHEGINI
Credential	:	DDS
Telephone Number	:	703-344-7722

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	03/16/2026

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