Organization
M & M PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIAN MAKIPOUR MD (MEDICAL DIRECTOR)
(703) 580-7433
Entity
Organization
Contact information
Practice address
2280 OPITZ BLVD STE 200, WOODBRIDGE, VA 22191-3330
(703) 580-7433
(703) 580-7437
Mailing address
2280 OPITZ BLVD STE 200, WOODBRIDGE, VA 22191-3330
(703) 580-7433
(703) 580-7437
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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