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Individual

PAYAM MIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6356 HOADLY RD, MANASSAS, VA 20112-3422
(703) 673-1558
Mailing address
6356 HOADLY RD, MANASSAS, VA 20112-3422
(703) 673-1558

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101272598
VA

Other

Enumeration date
07/11/2018
Last updated
03/21/2024
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