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Individual

DR. JOHN HOSSEIN MOLAIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1635 N GEORGE MASON DR, SUITE 455, ARLINGTON, VA 22205-3601
(703) 465-0137
(703) 465-0429
Mailing address
1635 N GEORGE MASON DR, SUITE 455, ARLINGTON, VA 22205-3601
(703) 465-0137
(703) 465-0429

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232384
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010000645
VA
01
2104198
MAMSI
VA
01
3051452
AETNA
VA
01
G873-0001
BLUE CROSS BLUE SHIELD
VA
Enumeration date
01/23/2006
Last updated
07/09/2007
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