Organization
NORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMED KHOSRAVI MD (OWNER)
(703) 491-5600
Entity
Organization
Contact information
Practice address
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3317
(703) 491-5600
(703) 491-1744
Mailing address
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3317
(703) 491-5600
(703) 491-1744
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1135
CAREFIRST BC BS
—
Enumeration date
01/03/2007
Last updated
10/03/2024
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