Individual
MOHAMMAD HOSSEIN RAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE #103, WOODBRIDGE, VA 22191-3908
(703) 497-4222
(703) 492-0164
Mailing address
14904 JEFFERSON DAVIS HWY, SUITE #103, WOODBRIDGE, VA 22191-3908
(703) 497-4222
(703) 492-0164
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101049080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006077871
—
VA
Enumeration date
10/13/2005
Last updated
03/09/2010
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