Individual
DR. SAHAR MOGHADAM EMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
401 MAPLE AVE W, VIENNA, VA 22180-4222
(703) 938-5544
(571) 367-7620
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002611
VIRGINIA LICENSE OF OPTOMETRY
VA
Enumeration date
08/11/2017
Last updated
11/04/2021
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