Individual
DR. MAJID FOTUHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
8280 GREENSBORO DR, SUITE 240, MC LEAN, VA 22102-4905
(703) 462-9296
Mailing address
8280 GREENSBORO DR, SUITE 240, MC LEAN, VA 22102-4905
(703) 462-9296
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0059507
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403075300
—
MD
01
—
C31152
R/R MEDICARE GROUP #
MD
01
—
P00157035
R/R MEDICARE PROVIDER #
MD
Enumeration date
05/11/2006
Last updated
11/24/2015
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