Individual
ADRIAN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3299 WOODBURN RD STE 110, ANNANDALE, VA 22003-7310
(703) 849-9050
Mailing address
2828 BROOK DR, FALLS CHURCH, VA 22042-2302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101252321
VA
2085R0202X
Diagnostic Radiology Physician
Primary
82295
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467748392
—
VA
Enumeration date
06/20/2011
Last updated
07/30/2025
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