Vienna Neurology | |
380 Maple Ave W Suite 206 Vienna VA 22180-5620 | |
(703) 652-0948 | |
(703) 542-3584 |
Full Name | Vienna Neurology |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 380 Maple Ave W, Vienna, Virginia |
Authorized Official Name and Position | Navid Mostofi (PRESIDENT) |
Authorized Official Contact | 2022108849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vienna Neurology Po Box 11922 Washington DC 20008-9122 Ph: () - | Vienna Neurology 380 Maple Ave W Suite 206 Vienna VA 22180-5620 Ph: (703) 652-0948 |
NPI Number | 1902164882 |
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Provider Enumeration Date | 04/27/2012 |
Last Update Date | 04/27/2012 |
Identifier | Type | State | Issuer |
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1902164882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 0101248683 (Virginia) | Primary |
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