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Individual

DR. ALI MIREBRAHIMI-TAFRESHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2108 ARROWLEAF DR, VIENNA, VA 22182-5192
(443) 739-2315
Mailing address
2108 ARROWLEAF DR, VIENNA, VA 22182-5192
(443) 739-2315

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0066508
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413631400
MD
Enumeration date
02/23/2007
Last updated
10/27/2010
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