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Individual

BEHNAM M GOUDARZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2028 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3326
(703) 497-0212
(703) 497-0421
Mailing address
2028 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3326
(703) 497-0212
(703) 497-0421

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101238239
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101239238
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101239238
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010277710
VA
Enumeration date
06/14/2005
Last updated
08/16/2013
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