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Individual

MS. SOROUR AMIRHAERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, PA-C

Contact information

Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-1141
Mailing address
6203 ADELAIDE DR, BETHESDA, MD 20817-2425
(301) 530-0712

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA030312
DC

Other

Enumeration date
06/03/2007
Last updated
07/08/2007
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