Individual
MEHDI TAGHIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CORNERSIDE BLVD STE 300, VIENNA, VA 22182-2438
(571) 771-3489
Mailing address
1500 CORNERSIDE BLVD STE 300, VIENNA, VA 22182-2438
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME158909
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101278598
VA
2085R0204X
Vascular & Interventional Radiology Physician
D0097931
MD
2085R0204X
Vascular & Interventional Radiology Physician
MD210011875
DC
Other
Enumeration date
04/01/2017
Last updated
11/13/2024
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