Individual
DR. NAVID MOSTOFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 MAPLE AVENUE WEST, SUITE# 206, VIENNA, VA 22180-5620
(703) 652-0948
(703) 542-3584
Mailing address
PO BOX 11922, WASHINGTON, DC 20008-9122
(703) 652-0948
(703) 542-3584
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101248683
VA
2084N0400X
Neurology Physician
D0065670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007
BCBS
DC
01
—
0501704
EVERCARE
—
01
—
3167780
MAMSI MDIPA OCI
MD
01
—
4900003
CIGNA
—
01
—
7676965
AETNA
—
01
—
89774901
BCBS
MD
01
—
P00443882
RAILROAD MEDICARE
—
Enumeration date
04/19/2007
Last updated
05/21/2012
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