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Individual

ANOUSHIRVAN REZAYE SARRAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4300 CANNON RIDGE CT UNIT U, FAIRFAX, VA 22033-6024
(571) 278-6349
Mailing address
4300 CANNON RIDGE CT UNIT U, FAIRFAX, VA 22033-6024
(571) 278-6349

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101242794
VA

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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