Individual
HOURIYA MAHBOOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
21475 RIDGETOP CIRCLE SUITE 300, STERLING, VA 20166-8580
(703) 430-4400
(703) 430-4130
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002324
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013323500
—
VA
05
—
30016081110001
—
VA
Enumeration date
07/07/2014
Last updated
03/19/2024
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