Individual
MR. AMIR MAHAN GHAZNAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13454 SUNRISE VALLEY DR STE 130, HERNDON, VA 20171-3278
(703) 239-3190
Mailing address
13454 SUNRISE VALLEY DR STE 130, HERNDON, VA 20171-3278
(703) 239-3190
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101273392
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
4301100153
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2008
Last updated
12/06/2022
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