| G. Reza Mehryar, M.d., Neurology, P.c. | |
|
3650 Joseph Siewick Dr #310 Fairfax VA 22033-1710 | |
| (703) 620-2929 | |
| (703) 620-1711 |
| Full Name | G. Reza Mehryar, M.d., Neurology, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3650 Joseph Siewick Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Gholam Reza Mehryar (OWNER) |
| Authorized Official Contact | 7036202929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Reza Mehryar, M.d., Neurology, P.c. 3650 Joseph Siewick Dr #310 Fairfax VA 22033-1710 Ph: (703) 620-2929 | G. Reza Mehryar, M.d., Neurology, P.c. 3650 Joseph Siewick Dr #310 Fairfax VA 22033-1710 Ph: (703) 620-2929 |
| NPI Number | 1932110269 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932110269 | NPI | - | NPPES |
| 100305 | Other | VA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 22328 (Virginia) | Primary |
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