Individual
DR. MAHAN CHEHRENAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4660 KENMORE AVE, SUITE 900, ALEXANDRIA, VA 22304-1313
(703) 212-0700
Mailing address
4660 KENMORE AVE, SUITE 900, ALEXANDRIA, VA 22304-1313
(703) 212-0700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0102050198
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107633
—
VA
Enumeration date
01/24/2006
Last updated
05/19/2010
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