Individual
PASHA DARVISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8000
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101275803
VA
Other
Enumeration date
04/04/2016
Last updated
12/14/2022
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