Organization
VIRGINIA PULMONARY ASSOCIATES, P.C.
Active
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
Update your record
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