Individual
BANAFSHEH MOTAZEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 BOONE BLVD STE 700, TYSONS, VA 22182-2683
(703) 531-2269
(703) 531-2279
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL003599
DC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101271880
VA
Other
Enumeration date
06/29/2016
Last updated
04/17/2026
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