Individual
OMID MANOOCHEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(240) 686-2300
(240) 686-2330
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 824-8069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101274870
VA
Other
Enumeration date
04/06/2018
Last updated
08/25/2023
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