Individual
AZITA MOALEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6136 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(703) 866-3131
(703) 866-3133
Mailing address
6136 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(703) 866-3131
(703) 866-3133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101049935
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225077613
—
VA
Enumeration date
06/04/2006
Last updated
02/20/2008
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