Individual
NELYA EBADIRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 FORBES PL STE 103, SPRINGFIELD, VA 22151-2205
(703) 824-3200
Mailing address
13402 SPRINGHAVEN DRIVE, FAIRFAX, VA 22033
(703) 459-7393
(804) 828-5466
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101263783
VA
Other
Enumeration date
04/18/2016
Last updated
05/13/2022
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