Individual
DR. HAMED KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3317
(703) 491-5600
(703) 491-1744
Mailing address
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3317
(703) 491-5600
(703) 491-1744
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101236341
VA
207RH0003X
Hematology & Oncology Physician
D0061363
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002138517006
UHC
VA
05
—
010104173
—
VA
01
—
11350001
CAREFIRST BCBS
—
01
—
220441
AMERIGROUP
VA
01
—
298274
ANTHEM BCBS
VA
01
—
3818139
AETNA HMO
—
01
—
5409063
CIGNA
VA
01
—
7373248
AETNA NON HMO
VA
Enumeration date
05/26/2006
Last updated
01/23/2026
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