Individual
DR. HOUSHANG MAKIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2280 OPITZ BLVD., SUITE 200, WOODBRIDGE, VA 22191
(703) 580-7433
(703) 580-7437
Mailing address
2280 OPITZ BLVD., SUITE 200, WOODBRIDGE, VA 22191
(703) 580-7433
(703) 580-7437
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101040695
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047784
BCBS ID
VA
Enumeration date
07/28/2005
Last updated
08/27/2013
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