Individual
MOHAMMAD BAHADORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE 203, WOODBRIDGE, VA 22191-3908
(703) 492-6660
(703) 492-6661
Mailing address
14904 JEFFERSON DAVIS HWY, SUITE 203, WOODBRIDGE, VA 22191-3908
(703) 492-6660
(703) 492-6661
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101053161
VA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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