# MAJESTIC MEDICAL ASSOCIATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598347924
- **Authorized official:** BARRY BARDIA NEMATI MD (OWNER)
- **Authorized official phone:** (818) 966-3542

## Contact information

- **Practice address:** 9401 LEE HWY STE 400, FAIRFAX, VA 22031-1847
- **Practice address phone:** (703) 383-4836
- **Practice address fax:** (844) 334-9826
- **Mailing address:** PO BOX 9611, MC LEAN, VA 22102-0611
- **Mailing address phone:** (818) 966-3542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 04/26/2021