Individual
MICHAEL REZA BANIHASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3023 HAMAKER CT, SUITE 100, FAIRFAX, VA 22031-2207
(703) 641-9161
Mailing address
3023 HAMAKER CT, SUITE 100, FAIRFAX, VA 22031-2207
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101251401
VA
Other
Enumeration date
02/18/2007
Last updated
07/08/2014
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