Individual
MARJAN MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
3869 MIRAMAR ST APT 3810, LA JOLLA, CA 92092-0004
(926) 936-9691
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0116041183
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
06/20/2025
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