Organization
VIRGINIA PULMONARY ASSOCIATES, P.C.
Active
Parent organization
VIRGINIA PULMONARY ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA PULMONARY ASSOCIATES, P.C.
Authorized official
ALA S MORTAZAVI M.D. (PRES/VP/SEC/TRES)
(703) 497-0212
Entity
Organization
Contact information
Practice address
313 PARK AVE STE 202, FALLS CHURCH, VA 22046-3303
(703) 497-0212
Mailing address
313 PARK AVE STE 202, FALLS CHURCH, VA 22046-3303
(703) 497-0212
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C12825
RAIL ROAD MEDICARE GRP
VA
Enumeration date
10/09/2006
Last updated
02/20/2008
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