Organization
HASSAN BUSHEHRI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN BUSHEHRI M.D. (PRESIDENT)
(202) 563-2200
Entity
Organization
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 201, WASHINGTON, DC 20032-4689
(202) 563-2200
Mailing address
6905 BENJAMIN ST, MC LEAN, VA 22101-1505
(703) 448-1891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
10/18/2007
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