Individual
DONNA MAZLOOMDOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3289 WOODBURN RD STE 130, ANNANDALE, VA 22003-7346
(571) 389-7140
(703) 992-7584
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101263511
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
0101263511
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
D0066418
MD
Other
Enumeration date
05/25/2007
Last updated
07/21/2022
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