Individual
ELHAM MOHAMMAD TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9401 LEE HWY STE 400, FAIRFAX, VA 22031
(703) 383-4836
(703) 383-4911
Mailing address
9401 LEE HWY STE 400, FAIRFAX, VA 22031-1847
(703) 383-4836
(703) 383-4911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174902
VA
Other
Enumeration date
06/08/2017
Last updated
11/28/2018
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