Individual
MS. MITRA ZAMENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10875 MAIN STREET SUIT 210, FAIRFAX, VA 22030
(703) 218-2403
Mailing address
10875 MAIN STREET SUIT 210, FAIRFAX, VA 22030
(703) 218-2403
(703) 267-5727
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101261606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03734214
—
NY
Enumeration date
01/16/2012
Last updated
01/20/2023
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