Dr Shayda Mankooei, DC | |
6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 | |
(703) 644-5900 | |
(703) 644-5902 |
Full Name | Dr Shayda Mankooei |
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Gender | Female |
Speciality | Chiropractor |
Location | 6800 Backlick Rd, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568495661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104555961 (Virginia) | Primary |
Provider Name | Mankooei Chiropractic Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164835922 PECOS PAC ID: 9234468182 Enrollment ID: O20190903001269 |
Mailing Address | Practice Location Address |
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Dr Shayda Mankooei, DC 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 Ph: (703) 644-5900 | Dr Shayda Mankooei, DC 6800 Backlick Rd, Suite 100, Springfield, VA 22150-3070 Ph: (703) 644-5900 |
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