Organization
MAJESTIC MEDICAL ASSOCIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BARDIA NEMATI MD (OWNER)
(818) 966-3542
Entity
Organization
Contact information
Practice address
9401 LEE HWY STE 400, FAIRFAX, VA 22031-1847
(703) 383-4836
(844) 334-9826
Mailing address
PO BOX 9611, MC LEAN, VA 22102-0611
(818) 966-3542
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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