Individual
JACQUELINE S EGHRARI-SABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8320 OLD COURTHOUSE RD, VIENNA, VA 22182-3831
(703) 403-5413
Mailing address
6511 TOPEKA RD, MC LEAN, VA 22101-4023
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D44244
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295770998
NPI
—
Enumeration date
06/17/2006
Last updated
01/23/2023
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