Individual
MEHRDAD EBADI-TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5226 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-9111
(703) 931-7952
Mailing address
5226 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-9111
(703) 931-7952
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101053922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005
BS DC
—
01
—
216687
BS VA
—
01
—
2220548
US HEALTH CARE
—
01
—
271769
ALLIANCE
—
01
—
281214
AMERIGROUP
—
01
—
3738
BS DC GROUP
—
01
—
37380005
CAPITAL CARE
—
Enumeration date
11/22/2005
Last updated
03/07/2008
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